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Michigan rates for HCPCS E1017

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.85 / $422.47 / $553.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $86.40 / $155.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.91 / $100.91 / $100.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.74 / $104.74 / $104.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.20 / $115.20 / $115.20