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Michigan rates for HCPCS E1235

Wheelchair, pediatric size, rigid, adjustable, with seating system

Facilitymedian $891 · 10th–90th $105–$1,7380%10%10th90th$891Professionalmedian $1,622 · 10th–90th $1,230–$1,9950%10%20%10th90th$1,622$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,621.81 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $2,754.23 / $2,754.23
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $1,445.44 / $3,019.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,862.09 / $2,630.27
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $1,445.44 / $1,445.44
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $1,445.44 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $741.31 / $1,445.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,174.90 / $1,819.70