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Missouri rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $676.08 / $776.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $660.69 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $630.96 / $741.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $616.60 / $5,495.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $501.19 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $380.19 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $512.86 / $776.25