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Missouri rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.81 / $379.14 / $517.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.33 / $360.42 / $401.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.27 / $407.81 / $407.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.83 / $257.81 / $2,978.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.22 / $279.04 / $550.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.22 / $278.08 / $555.52