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Michigan rates for HCPCS E2615

Positioning wheelchair back cushion, posterior-lateral, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.70 / $342.70 / $342.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.67 / $338.29 / $342.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.87 / $1,549.87 / $2,029.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.88 / $401.49 / $570.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.47 / $265.52 / $354.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.81 / $253.58 / $435.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.51 / $277.51 / $371.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.51 / $291.29 / $371.51
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.20 / $342.70 / $528.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.87 / $180.59 / $291.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.98 / $260.39 / $434.22