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Wisconsin rates for HCPCS E1005

Wheelchair Accessory Power Seatng System Recline Only With Power Shear Reduction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,199.85 / $4,199.85 / $4,199.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,639.23 / $3,779.87 / $4,954.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,346.70 / $11,550.99 / $11,550.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,760.02 / $5,902.43 / $7,933.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.71 / $456.58 / $1,358.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,461.85 / $3,461.85 / $19,281.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,942.57 / $7,357.50 / $9,196.87
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,015.91 / $5,270.36 / $7,559.75
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,216.29 / $4,216.29 / $7,616.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,015.91 / $6,346.70 / $33,329.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,646.53 / $3,640.21 / $7,800.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $90.00 / $5,226.20
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,015.91 / $5,375.77 / $7,559.75
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,216.29 / $4,216.29 / $7,616.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.07 / $1,485.31 / $1,928.57
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,461.85 / $11,997.02 / $33,329.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.13 / $3,461.85 / $3,461.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,466.32 / $3,640.21 / $6,346.70