| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $105.84 | $105.84 | $105.84 | |
Cigna
| Professional | $104.74 | $104.74 | $104.74 | |
Molina
| Professional | $55.00 | $55.00 | $55.00 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $105.84 | $105.84 | $105.84 | |
Cigna
| Professional | $104.74 | $104.74 | $104.74 | |
Molina
| Professional | $55.00 | $55.00 | $55.00 |