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Missouri rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Facilitymedian $98 · 10th–90th $10–$2000%5%10%10th90th$98Professionalmedian $107 · 10th–90th $71–$1290%20%10th90th$107$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $107.15 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $128.82 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $60.26 / $70.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $138.04 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $87.10 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $69.18 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $85.11 / $144.54