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Missouri rates for HCPCS K0005

Ultralightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.22 / $1,696.46 / $2,080.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,552.28 / $1,552.28 / $1,799.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.28 / $1,763.00 / $1,958.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.50 / $1,460.50 / $1,872.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.43 / $1,460.50 / $1,825.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.22 / $1,966.91 / $12,056.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.51 / $1,288.68 / $2,598.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.51 / $1,288.68 / $2,095.21