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Arizona rates for HCPCS E0986

Manual Wheelchair Accessory Push-Rim Activated Power Assist Sytem (Revised 11/11/2014)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,752.02 / $5,165.34 / $5,165.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.43 / $214.43 / $268.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,529.88 / $5,575.23 / $7,735.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,900.00 / $2,900.00 / $2,900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,465.00 / $2,900.00 / $7,878.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,860.57 / $4,246.80 / $30,495.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.49 / $2,860.46 / $4,341.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.03 / $2,860.46 / $4,341.33