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Michigan rates for HCPCS E1295

Heavy-duty wheelchair, fixed full-length arms, elevating legrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.24 / $1,292.24 / $1,292.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.10 / $1,292.24 / $1,352.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,901.24 / $6,534.98 / $8,557.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.22 / $1,269.65 / $2,405.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.76 / $102.03 / $984.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.04 / $126.04 / $1,846.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.44 / $1,042.44 / $1,042.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.94 / $1,398.50 / $2,090.63
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.71 / $1,136.79 / $1,697.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.24 / $684.19 / $1,107.35