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Missouri rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.64 / $90.78 / $115.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $104.45 / $147.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.70 / $88.70 / $116.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.40 / $75.40 / $88.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $26.69 / $173.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $21.07 / $153.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $20.16 / $129.76