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Missouri rates for HCPCS E2628

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $676.08 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $316.23 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $707.95 / $4,365.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $371.54 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $676.08