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Missouri rates for HCPCS E2383

Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $93.33 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $100.00 / $114.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $144.54 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $85.11 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $67.61 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $81.28 / $138.04