go back

Michigan rates for HCPCS E2369

Power wheelchair component, drive wheel gear box, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.56 / $380.56 / $380.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.86 / $380.56 / $387.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,888.37 / $1,888.37 / $2,472.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.92 / $69.51 / $521.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.57 / $35.22 / $394.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.22 / $43.36 / $564.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $332.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $332.93 / $525.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.04 / $380.56 / $490.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.76 / $134.73 / $289.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.91 / $283.45 / $449.94