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West Virginia rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.64 / $85.72 / $95.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.42 / $78.13 / $114.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $84.14 / $119.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $166.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.52 / $102.86 / $122.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.30 / $78.11 / $120.44