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Michigan rates for HCPCS E2294

Seat, contoured, for pediatric size wheelchair including fixed attaching hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.70 / $275.70 / $275.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.83 / $275.70 / $328.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.75 / $438.75 / $438.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.63 / $226.63 / $226.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.63 / $226.63 / $226.63
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.70 / $275.70 / $275.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.00