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Missouri rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.05 / $22.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.92 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $21.88 / $25.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $28.18 / $154.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $17.38 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $13.49 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.98 / $30.20