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Missouri rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.68 / $42.66 / $58.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.08 / $54.08 / $54.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.96 / $51.12 / $58.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $42.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $42.67 / $49.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.06 / $68.06 / $305.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.68 / $40.99 / $74.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.68 / $38.11 / $75.23