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Missouri rates for HCPCS E1234

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.08 / $1,770.06 / $2,411.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.82 / $1,886.64 / $1,984.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,208.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.01 / $1,208.78 / $1,245.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.52 / $1,770.06 / $12,092.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.57 / $1,243.16 / $2,235.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.19 / $1,228.74 / $2,185.98