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Iowa rates for HCPCS E1017

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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.74 / $104.74 / $104.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $144.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.71 / $135.71 / $135.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.95 / $109.95 / $135.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.27 / $113.00 / $113.00