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Arizona rates for HCPCS E1004

Wheelchair accessory, power seating system, recline only, with mechanical shear reduction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,189.59 / $4,412.10 / $4,412.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.35 / $176.35 / $220.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,438.79 / $4,585.05 / $7,622.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $3,282.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,790.46 / $3,282.89 / $6,731.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,944.86 / $4,036.24 / $30,467.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.46 / $2,859.96 / $4,345.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276.28 / $2,859.96 / $4,345.63