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Wisconsin rates for HCPCS E1016

Shock absorber for power wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.80 / $97.80 / $97.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $84.01 / $106.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.40 / $262.81 / $262.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.28 / $134.29 / $194.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.39 / $85.31 / $308.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.16 / $88.16 / $361.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.16 / $157.13 / $196.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.22 / $126.52 / $181.87
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.05 / $105.05 / $189.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.22 / $189.78 / $632.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.86 / $87.45 / $172.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.22 / $126.52 / $181.87
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.05 / $105.05 / $189.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $29.19 / $37.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.16 / $280.36 / $632.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.16 / $88.16 / $102.18
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.28 / $152.28 / $152.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.28 / $152.28 / $152.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.74 / $85.31 / $164.64