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Missouri rates for HCPCS E2375

Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.54 / $562.49 / $766.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.76 / $724.08 / $759.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $407.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.77 / $407.96 / $420.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.12 / $695.56 / $2,957.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.08 / $421.55 / $842.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.65 / $422.14 / $899.39