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Maryland rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.10 / $71.25 / $116.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.47 / $89.47 / $90.18
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 / $79.48 / $112.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.89 / $119.43 / $143.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.30 / $78.11 / $123.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.27 / $102.27 / $113.82