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Missouri rates for HCPCS E2205

Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $25.12 / $28.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $33.11 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $26.92 / $33.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $36.31 / $194.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $20.89 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $16.22 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $20.89 / $33.88