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Michigan rates for HCPCS E2217

Manual wheelchair accessory, foam filled caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.14 / $40.14 / $40.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $40.14 / $99.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.24 / $263.24 / $344.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $68.19 / $96.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $26.34 / $36.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $30.77 / $43.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $31.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.05 / $31.91 / $41.89
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $31.66 / $58.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $23.95 / $38.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.43 / $27.13 / $38.90