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Wisconsin rates for HCPCS E0958

Wheelchair Accessr, Medial Thigh Support, Any Type, Includ F

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.21 / $336.21 / $336.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.79 / $320.61 / $392.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $919.10 / $919.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.07 / $469.65 / $631.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.61 / $108.07 / $110.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $238.50 / $1,414.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.00 / $615.00 / $768.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.45 / $166.91 / $540.48
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.17 / $62.17 / $235.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.81 / $450.40 / $2,575.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $226.90 / $398.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $177.60 / $323.63
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.76 / $288.69 / $540.48
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.17 / $62.17 / $235.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.38 / $114.38 / $148.51
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $564.77 / $2,575.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.00 / $238.50 / $238.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.91 / $153.81 / $254.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.91 / $215.63 / $390.55