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Missouri rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.76 / $98.84 / $124.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.48 / $112.50 / $113.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $102.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $93.52 / $112.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.76 / $128.22 / $671.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.30 / $75.06 / $158.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.21 / $74.51 / $120.44