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Wisconsin rates for HCPCS E0294

Hospital Bed Semi-Electric (Head And Foot Adjustment) 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
$606.69 / $606.69 / $606.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.53 / $539.03 / $706.50
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
$628.15 / $687.27 / $997.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.10 / $158.15 / $158.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.13 / $589.42 / $3,107.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.31 / $866.25 / $1,082.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.99 / $499.73 / $910.04
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.68 / $706.26 / $706.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.99 / $1,015.02 / $3,720.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.49 / $617.29 / $965.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $58.40 / $605.98
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.99 / $606.69 / $910.04
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.68 / $706.26 / $706.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.51 / $165.65 / $215.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.13 / $1,339.24 / $3,720.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.71 / $552.13 / $552.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.90 / $557.04 / $1,027.10