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Michigan rates for HCPCS E1087

High strength lightweight wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.16 / $1,346.16 / $1,346.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.56 / $1,197.30 / $1,346.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,105.72 / $6,807.61 / $8,914.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.79 / $1,392.23 / $2,506.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.68 / $107.86 / $1,078.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.43 / $141.43 / $2,071.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.95 / $1,470.00 / $2,564.06
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.35 / $953.46 / $1,767.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.10 / $678.58 / $1,150.99