go back

Wisconsin 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
$150.00 / $150.00 / $150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.74 / $104.74 / $104.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $90.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $65.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $80.00 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.74 / $104.74 / $104.74