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Missouri rates for HCPCS E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.18 / $369.36 / $503.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.33 / $420.58 / $420.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.08 / $410.60 / $430.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $382.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.46 / $279.36 / $375.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.00 / $478.04 / $3,065.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.73 / $313.02 / $575.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.00 / $313.02 / $510.00