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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
$66.07 / $89.13 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $114.82 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $123.03
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $147.91
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $64.57 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $74.13 / $100.00