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Michigan rates for HCPCS E2394

Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.18 / $58.18 / $58.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.32 / $56.05 / $58.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.17 / $263.17 / $344.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.82 / $53.82 / $96.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.67 / $44.96 / $60.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $43.06 / $73.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $46.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.18 / $49.42 / $60.89
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $58.18 / $89.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.39 / $49.42 / $49.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.93 / $44.20 / $64.47