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Wisconsin rates for HCPCS E0990

Wheelchair Accessory Elevating Leg Rest Complete Assembly Each.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.91 / $65.91 / $65.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.03 / $48.50 / $80.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.60 / $155.79 / $155.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.59 / $85.58 / $116.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.46 / $60.33 / $236.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.45 / $75.92 / $119.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.45 / $100.50 / $125.63
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.00 / $105.69 / $162.62
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.51 / $83.51 / $169.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.91 / $141.41 / $411.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $76.29 / $118.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.94 / $98.24
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.00 / $105.69 / $162.62
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.51 / $83.51 / $169.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.30 / $18.14 / $23.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $166.16 / $411.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.45 / $57.45 / $107.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.69 / $116.69 / $116.69
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.69 / $116.69 / $116.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.33 / $70.01 / $117.43