| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $149,999.85 | $399,999.60 | $999,999.00 | |
BCBS
| Professional | $267.60 | $354.18 | $393.53 | |
Cigna
| Professional | $104.74 | $104.74 | $104.74 |
Heavy-duty shock absorber for heavy-duty or extra heavy-duty manual wheelchair, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $149,999.85 | $399,999.60 | $999,999.00 | |
BCBS
| Professional | $267.60 | $354.18 | $393.53 | |
Cigna
| Professional | $104.74 | $104.74 | $104.74 |