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Missouri rates for HCPCS E2201

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.99 / $267.12 / $363.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.01 / $352.01 / $352.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.95 / $292.14 / $329.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.42 / $243.42 / $325.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $243.42 / $319.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.82 / $417.05 / $1,745.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.33 / $240.46 / $391.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.33 / $205.88 / $468.10