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Missouri rates for HCPCS E1170

Amputee wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $676.08 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $676.08 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $645.65 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $630.96 / $5,623.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $512.86 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $389.05 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $524.81 / $794.33