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Michigan rates for HCPCS E2205

Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $25.12 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $42.66 / $42.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $22.39 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $48.98
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $30.90 / $46.77
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $35.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $35.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $13.18 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $21.38 / $32.36