go back

Michigan rates for HCPCS E1180

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.16 / $1,078.16 / $1,078.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.28 / $1,078.16 / $1,128.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,089.15 / $5,452.17 / $7,139.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.36 / $1,412.37 / $2,007.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.23 / $81.23 / $850.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.27 / $113.27 / $1,659.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.45 / $344.45 / $344.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.06 / $344.45 / $1,642.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.84 / $758.36 / $1,415.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.96 / $529.34 / $924.09