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Michigan rates for HCPCS E0955

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.63 / $146.63 / $146.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.66 / $141.10 / $146.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.82 / $113.82 / $113.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.59 / $139.55 / $251.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.21 / $15.82 / $219.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.18 / $19.47 / $201.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.12 / $129.12 / $131.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.12 / $132.99 / $194.10
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.59 / $149.55 / $202.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $83.03 / $178.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.95 / $101.52 / $169.83