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Michigan rates for HCPCS E2224

Manual Wheelchair Accessory Propulsion Wheel Excludes Tire Any Size Replacement Only Each (Desc Revised 01/01/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.03 / $84.03 / $84.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.41 / $84.03 / $98.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.13 / $401.13 / $525.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.94 / $82.04 / $147.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.31 / $56.78 / $73.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $65.63 / $109.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.04 / $73.04 / $95.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.04 / $76.69 / $95.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $81.34 / $116.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $47.54 / $76.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.52 / $48.89 / $77.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.46 / $54.69 / $83.35