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California rates for HCPCS E1017

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.54 / $15.00 / $15.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.80 / $150.00 / $150.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.74 / $104.74 / $105.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.07 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $90.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.74 / $104.74 / $105.84