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Wisconsin rates for HCPCS E1050

Fully-Reclining Wheelchair Fixed Full Length Arms Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.67 / $922.67 / $922.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.94 / $745.03 / $1,032.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.90 / $2,520.52 / $2,520.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.45 / $1,287.96 / $1,731.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.63 / $99.63 / $296.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $3,717.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.50 / $1,410.00 / $1,762.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.10 / $389.52 / $1,384.01
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.19 / $166.19 / $550.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.69 / $1,116.57 / $6,384.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.56 / $669.94 / $1,185.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.38 / $673.71 / $1,384.01
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.19 / $166.19 / $550.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.53 / $284.76 / $369.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $2,298.10 / $6,384.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.68 / $450.00 / $450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.42 / $598.94 / $1,185.36