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Iowa rates for HCPCS E1016

Shock Absorber For Manual Wheelchair, Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.01 / $84.01 / $101.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.44 / $77.09 / $116.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.16 / $88.16 / $167.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.16 / $157.13 / $196.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $13.72 / $14.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.61 / $201.95 / $632.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.86 / $77.93 / $189.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.76 / $16.76 / $39.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $20.03 / $39.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.97 / $74.31 / $189.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.27 / $137.05 / $137.05