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Missouri rates for HCPCS E2293

Back, contoured, for pediatric size wheelchair including fixed attaching hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.99 / $412.99 / $412.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.66 / $357.47 / $357.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.60 / $251.60 / $296.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $412.99 / $412.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.83 / $1,130.83 / $1,130.83