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Wisconsin rates for HCPCS E0994

Arm Rest Each (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.95 / $13.95 / $13.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $12.90 / $16.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.90 / $45.32 / $45.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $23.16 / $29.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $11.65 / $44.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.93 / $13.93 / $55.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.93 / $24.38 / $30.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.75 / $13.95 / $25.11
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.10 / $14.10 / $25.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.75 / $25.13 / $112.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.85 / $12.19 / $25.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.75 / $13.95 / $25.11
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.10 / $14.10 / $25.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $4.73 / $6.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.93 / $40.90 / $112.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.93 / $13.93 / $17.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.94 / $20.94 / $20.94
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.94 / $20.94 / $20.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $11.59 / $24.28