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Michigan rates for HCPCS E2391

Power Wheelchair Accessory Solid (Rubber/Plastic)Caster Tire (Removable) Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $17.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $17.30 / $17.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.78 / $81.78 / $107.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $16.73 / $30.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $12.03 / $16.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $13.38 / $19.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $13.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $15.08 / $18.17
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $17.30 / $24.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $15.08 / $15.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $11.80 / $17.39