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Wisconsin rates for HCPCS E0290

Hospital Bed Fixed Height Without 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
$474.25 / $474.25 / $474.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.91 / $425.75 / $551.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.80 / $770.88 / $1,275.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.20 / $651.74 / $861.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.40 / $149.97 / $149.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.00 / $1,865.32 / $2,897.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.65 / $810.00 / $1,012.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.82 / $285.89 / $738.85
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.10 / $404.03 / $404.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $615.71 / $3,520.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.31 / $353.35 / $587.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $58.40 / $545.71
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.82 / $474.25 / $788.11
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.10 / $404.03 / $404.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.25 / $156.97 / $203.82
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.00 / $800.86 / $3,520.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.03 / $429.00 / $429.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.99 / $318.58 / $566.74