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Missouri rates for HCPCS E2627

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $691.83 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $912.01 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $457.09 / $562.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $933.25 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $478.63 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $575.44 / $912.01