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Missouri rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.73 / $107.43 / $146.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.87 / $130.15 / $130.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $70.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $70.53 / $72.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $156.41 / $802.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.58 / $91.11 / $172.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.08 / $90.79 / $172.29