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Missouri rates for HCPCS E1028

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $112.20 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $134.90 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $109.65 / $112.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $141.25 / $794.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $87.10 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $79.43 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $83.18 / $169.82