go back

Arizona rates for HCPCS E1017

Heavy-duty shock absorber for heavy-duty or extra heavy-duty manual wheelchair, each

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.20 / $5.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.84 / $109.14 / $181.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.74 / $104.74 / $104.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $100.00