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Michigan rates for HCPCS E1224

Wheelchair With Detachable Arms Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.80 / $754.80 / $754.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.02 / $754.80 / $903.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.58 / $3,816.78 / $4,998.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $988.72 / $1,405.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.65 / $71.13 / $711.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.71 / $90.71 / $1,328.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.20 / $428.20 / $428.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.83 / $428.20 / $1,117.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.12 / $647.54 / $991.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.31 / $423.95 / $655.41