| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $150.00 | $150.00 | $150.00 | |
Health New England
| Professional | $89.60 | $89.60 | $89.60 |
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 |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $150.00 | $150.00 | $150.00 | |
Health New England
| Professional | $89.60 | $89.60 | $89.60 |