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Michigan rates for HCPCS E1130

Standard wheelchair, fixed full-length arms, fixed or swing-away detachable footrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $288.40 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $302.00 / $302.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $616.60
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $181.97 / $398.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $199.53 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $446.68