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Pennsylvania rates for HCPCS E1017

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

Insurance Carrier
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.93 / $90.21 / $90.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.74 / $104.74 / $104.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.74 / $104.74 / $104.74