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Missouri rates for HCPCS E1233

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.32 / $2,033.09 / $2,769.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.22 / $1,798.40 / $2,279.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $1,406.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.74 / $1,406.76 / $1,448.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.57 / $1,799.26 / $13,890.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.49 / $1,427.98 / $2,568.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.76 / $1,411.48 / $2,568.27