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Missouri rates for HCPCS E2394

Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.50 / $48.94 / $66.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.02 / $55.02 / $55.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.16 / $57.53 / $68.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $46.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $54.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.69 / $78.58 / $331.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.25 / $47.06 / $85.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.04 / $42.66 / $85.30