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Michigan rates for HCPCS E2226

Manual Wheelchair Accessory Caster Fork Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.70 / $37.70 / $37.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.07 / $37.70 / $38.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.04 / $179.04 / $234.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $36.61 / $65.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $25.84 / $33.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $29.30 / $42.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.64 / $30.64 / $40.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.90 / $34.90 / $54.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $37.70 / $53.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $21.63 / $34.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.10 / $24.46 / $37.92