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Michigan rates for HCPCS E1150

Wheelchair Detachable Arms Desk Or Full Length Swing Away Detachable Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.84 / $867.84 / $867.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.15 / $778.50 / $867.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,291.48 / $4,388.62 / $5,746.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.52 / $1,196.69 / $1,615.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.29 / $74.08 / $867.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.98 / $81.98 / $1,200.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.00 / $134.00 / $134.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.23 / $134.00 / $1,241.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.97 / $748.50 / $1,139.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.58 / $437.56 / $635.03