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Michigan rates for HCPCS E2377

Power Wheelchair Accessory Expandable Controller Including All Related Electronics And Mounting Hardware Upgrade Provided At Initial Issue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.24 / $428.24 / $428.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.20 / $428.24 / $429.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.79 / $382.79 / $382.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,157.91 / $2,157.91 / $2,825.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $61.10 / $794.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.43 / $38.00 / $430.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.83 / $46.77 / $652.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $382.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.36 / $312.79 / $457.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.05 / $422.69 / $560.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.36 / $312.79 / $312.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.60 / $306.00 / $408.00