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Missouri rates for HCPCS E2295

Manual Wheelchair Accessory For Pediatric Size Wheelchair Dynamic Seating

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.28 / $59.28 / $59.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.00 / $560.00 / $560.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.69 / $526.69 / $526.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.69 / $526.69 / $542.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.28 / $59.28 / $80.00