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Michigan rates for HCPCS K0005

Ultralightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,966.91 / $1,966.91 / $1,966.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.41 / $1,966.91 / $2,058.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,799.11 / $1,799.11 / $2,583.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.69 / $9,303.83 / $12,405.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.70 / $2,453.94 / $3,487.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.88 / $1,259.22 / $2,266.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.62 / $1,549.81 / $2,066.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.50 / $1,460.50 / $1,916.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.50 / $1,632.83 / $2,147.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.22 / $1,866.65 / $2,583.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.88 / $1,224.61 / $1,632.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.67 / $1,191.48 / $1,718.87