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Connecticut rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.39 / $110.65 / $112.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.07 / $113.82 / $113.82
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.29 / $86.26 / $122.08
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $68.81 / $68.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.27 / $75.45 / $114.70