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Missouri rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.14 / $921.63 / $1,188.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.08 / $990.00 / $1,033.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $606.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.23 / $606.51 / $624.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.72 / $1,192.81 / $7,407.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.95 / $755.95 / $1,420.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.00 / $728.00 / $1,332.17