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Wisconsin rates for HCPCS E0255

Hospital Bed Variable Height Hi-Lo With Any Type Side Rails With Mattress (Special Coverage Instructions Apply. See Cim: 60- 18 And Mcm: 2100.1)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.37 / $601.37 / $601.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.15 / $544.89 / $679.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $812.90 / $1,344.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.54 / $687.27 / $923.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.10 / $158.15 / $158.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.40 / $2,273.28 / $3,586.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.64 / $866.25 / $1,082.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.89 / $449.37 / $902.06
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.68 / $635.17 / $635.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.89 / $912.95 / $3,720.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.71 / $554.83 / $891.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $58.40 / $605.98
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.89 / $601.37 / $902.06
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.68 / $635.17 / $635.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.51 / $165.65 / $215.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.40 / $1,339.24 / $3,720.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.64 / $59.64 / $577.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.19 / $500.98 / $891.19