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Michigan rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.36 / $25.36 / $25.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.71 / $24.79 / $25.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.45 / $119.26 / $156.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $24.39 / $43.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $15.85 / $22.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $18.66 / $24.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.85 / $25.56 / $28.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $25.36 / $36.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $16.51 / $26.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $17.50 / $30.40