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Missouri rates for HCPCS E1190

Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.36 / $1,074.26 / $1,463.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.96 / $887.98 / $1,170.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $1,140.20 / $1,140.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.07 / $669.47 / $7,340.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.92 / $687.77 / $1,356.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.92 / $688.37 / $1,326.70