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Missouri rates for HCPCS K0004

High strength, lightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.85 / $558.97 / $761.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.00 / $408.43 / $1,084.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.75 / $654.75 / $654.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.54 / $654.75 / $918.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.74 / $521.70 / $2,522.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.90 / $452.80 / $791.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.90 / $430.93 / $791.07