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Missouri rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $338.84 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $398.11 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $407.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $478.63 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $223.87 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $275.42 / $436.52