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Arizona rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.55 / $106.79 / $106.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $4.33 / $5.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.31 / $112.41 / $186.88
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 / $172.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.60 / $110.65 / $671.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.13 / $68.65 / $102.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.63 / $68.65 / $101.10