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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
$220.96 / $354.57 / $483.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.97 / $451.97 / $451.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.46 / $398.43 / $436.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $440.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $437.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.66 / $535.46 / $2,391.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.78 / $304.02 / $611.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.69 / $274.66 / $503.00