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Michigan rates for HCPCS E0959

Manual wheelchair accessory, adapter for amputee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $32.36 / $39.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $51.29 / $51.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $30.20 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $60.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $38.90 / $57.54
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $45.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $17.78 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.30 / $40.74