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Michigan rates for HCPCS E1234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,052.23 / $2,052.23 / $2,052.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.60 / $2,052.23 / $2,147.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,783.73 / $10,378.31 / $13,590.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.69 / $2,688.46 / $3,820.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.19 / $175.50 / $2,365.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.62 / $215.62 / $3,234.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,208.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.01 / $1,208.78 / $2,241.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.82 / $1,947.61 / $2,695.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.28 / $187.39 / $1,703.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.68 / $1,144.74 / $1,729.69