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Alaska rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.00 / $166.00 / $166.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $93.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $93.52 / $96.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.16 / $81.18 / $126.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.12 / $126.21 / $159.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.70 / $15.51 / $130.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.10 / $85.72 / $124.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $93.52 / $96.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.11 / $149.71 / $273.38