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Missouri rates for HCPCS E2611

General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.81 / $134.47 / $203.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.35 / $119.35 / $254.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.97 / $218.51 / $276.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $126.72 / $169.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.71 / $126.72 / $166.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.48 / $307.39 / $908.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.19 / $176.81 / $312.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.19 / $139.38 / $317.66