go back

Michigan rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.68 / $925.68 / $925.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.01 / $823.30 / $925.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,510.96 / $4,681.27 / $6,130.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.28 / $957.37 / $1,292.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.83 / $76.08 / $703.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.26 / $97.26 / $1,424.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $746.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $746.73 / $1,196.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.49 / $850.99 / $1,215.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.75 / $466.85 / $654.22