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Michigan rates for HCPCS E1014

Reclining back, addition to pediatric size wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.64 / $388.64 / $388.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.12 / $388.64 / $406.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,474.03 / $1,965.38 / $2,573.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $509.12 / $723.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.18 / $256.33 / $280.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.83 / $40.83 / $598.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.77 / $172.77 / $172.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.86 / $172.77 / $399.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.80 / $368.68 / $510.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.45 / $35.48 / $322.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.30 / $235.33 / $365.14