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Michigan rates for HCPCS E1233

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,357.19 / $2,357.19 / $2,357.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.71 / $2,357.19 / $2,466.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,940.40 / $11,920.52 / $15,610.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.54 / $2,437.87 / $4,388.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.23 / $201.22 / $2,716.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.66 / $247.66 / $3,714.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $1,406.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.74 / $1,406.76 / $2,574.10
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.52 / $2,357.19 / $3,095.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.55 / $215.25 / $1,956.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.96 / $1,411.48 / $2,171.51