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Michigan rates for HCPCS E1250

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.73 / $490.73 / $490.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.41 / $490.73 / $796.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.49 / $1,815.31 / $2,377.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.18 / $352.69 / $668.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.23 / $62.95 / $629.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.60 / $95.60 / $1,045.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.00 / $200.00 / $862.34
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.42 / $387.41 / $549.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.73 / $430.26 / $784.85