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Idaho rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.25 / $114.25 / $114.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.18 / $114.25 / $163.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $103.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $93.52 / $112.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.09 / $89.55 / $160.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.57 / $126.21 / $144.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $113.63 / $116.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.54 / $140.54 / $237.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.84 / $68.65 / $114.70