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Michigan rates for HCPCS K0098

Drive Belt For Power Wheelchair Replacement Only (Desc Rvsd 1/1/17)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.16 / $23.16 / $23.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.02 / $23.16 / $23.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $108.05 / $144.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $28.50 / $40.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $15.50 / $21.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $18.00 / $26.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.13 / $20.13 / $20.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.13 / $22.20 / $42.66
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $23.16 / $32.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $18.92 / $26.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $16.14 / $22.67