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Missouri rates for HCPCS E2204

Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.51 / $623.42 / $829.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.59 / $699.76 / $762.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $744.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.22 / $581.42 / $705.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.04 / $909.19 / $4,173.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.85 / $523.34 / $1,052.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.33 / $508.17 / $1,052.18