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Missouri rates for HCPCS E2202

Manual wheelchair accessory, nonstandard seat frame width, 24-27 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $338.84 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $426.58 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $354.81 / $426.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $501.19 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $288.40 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $223.87 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $288.40 / $446.68