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Arkansas rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.29 / $74.29 / $74.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.31 / $161.88 / $179.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.25 / $106.88 / $160.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $106.88 / $160.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $122.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $93.52 / $122.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.76 / $72.25 / $101.10