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Michigan rates for HCPCS E0950

Wheelchair accessory, tray, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $57.54 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $87.10 / $93.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $60.26 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $63.10 / $109.65
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $75.86 / $128.82
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $81.28
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $63.10 / $81.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $41.69 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $66.07 / $87.10