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Michigan rates for HCPCS E0957

Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.28 / $113.28 / $113.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $113.28 / $114.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $137.16 / $194.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.39 / $80.97 / $109.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $86.64 / $132.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.65 / $94.65 / $124.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.65 / $114.25 / $124.23
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $113.28 / $158.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $30.00 / $121.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.35 / $83.50 / $117.63