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Iowa rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.25 / $90.25 / $108.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.09 / $80.75 / $124.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $173.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.52 / $172.50 / $220.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.87 / $15.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.11 / $221.38 / $671.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.60 / $76.98 / $204.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.39 / $17.39 / $41.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $20.78 / $41.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.84 / $77.15 / $204.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.43 / $142.32 / $142.32