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