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Indiana rates for HCPCS E1017

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.80 / $150.00 / $150.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.68 / $108.68 / $108.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.74 / $104.74 / $198.00