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New York rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.94 / $90.39 / $133.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.82 / $113.82 / $162.66
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.06 / $98.02 / $130.69
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $98.02 / $130.69
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 / $93.52 / $122.74
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $332.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.48 / $86.26 / $132.69
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.60 / $93.60 / $114.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $122.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $93.52 / $122.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.14 / $78.11 / $114.41
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.60 / $93.60 / $93.60
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.60 / $93.60 / $99.45