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Michigan rates for HCPCS E2201

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.42 / $308.42 / $308.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.50 / $274.97 / $308.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.25 / $461.25 / $461.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,356.42 / $1,356.42 / $1,776.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.45 / $277.39 / $499.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.88 / $186.60 / $327.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.59 / $221.92 / $417.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.42 / $243.42 / $325.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.42 / $257.45 / $345.92
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.99 / $295.89 / $469.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.10 / $28.31 / $257.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.69 / $200.63 / $313.41