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Missouri rates for HCPCS E2376

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.92 / $1,003.26 / $1,366.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.56 / $1,134.66 / $1,189.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.26 / $642.26 / $642.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.91 / $642.26 / $661.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.92 / $1,321.04 / $8,276.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.75 / $865.06 / $1,571.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.20 / $865.06 / $1,585.66