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Wisconsin rates for HCPCS E0371

Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,999.90 / $1,999.90 / $1,999.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.85 / $1,911.80 / $2,460.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,239.80 / $2,463.78 / $4,076.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,937.19 / $2,083.01 / $2,754.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.90 / $479.32 / $479.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.33 / $2,359.19 / $10,342.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.83 / $2,887.50 / $3,609.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.58 / $1,700.15 / $2,999.85
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.77 / $355.58 / $355.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.98 / $1,999.90 / $9,481.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.88 / $334.08 / $2,390.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.98 / $1,700.15 / $2,999.85
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.77 / $355.58 / $355.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.37 / $422.80 / $548.97
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $3,861.60 / $9,481.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.51 / $303.33 / $303.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.88 / $324.27 / $2,308.96