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Missouri rates for HCPCS E2391

Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $14.04 / $19.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.33 / $16.88 / $18.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $13.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $16.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.77 / $20.98 / $99.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $12.89 / $23.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $12.81 / $21.53