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Missouri rates for HCPCS E1195

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.17 / $1,152.71 / $1,570.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.60 / $961.80 / $1,019.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $1,223.23 / $1,223.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.02 / $718.36 / $7,874.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.41 / $737.83 / $1,455.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.07 / $737.83 / $1,253.84