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Wisconsin rates for HCPCS E0961

Manual Wheelchair Accessory Wheel Lock Brake Extension (Handle) Each.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.92 / $17.92 / $17.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.16 / $14.08 / $20.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.30 / $44.23 / $44.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $22.61 / $29.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $17.14 / $75.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.88 / $20.91 / $25.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.88 / $28.50 / $35.63
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.38 / $28.26 / $40.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.79 / $23.79 / $42.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.38 / $42.40 / $113.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.91 / $18.55 / $33.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $50.00 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.38 / $28.26 / $40.63
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.79 / $23.79 / $42.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $5.52 / $7.17
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.91 / $47.22 / $113.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.88 / $15.88 / $21.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.08 / $31.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.08 / $31.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.93 / $16.84 / $32.31