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Michigan rates for HCPCS E0974

Manual wheelchair accessory, antirollback device, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.88 / $71.88 / $71.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.17 / $67.98 / $71.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.13 / $330.83 / $433.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $67.66 / $121.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $49.52 / $68.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $54.13 / $87.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.10 / $44.10 / $44.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.10 / $56.07 / $73.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.92 / $69.25 / $109.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $30.00 / $69.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $46.27 / $70.83