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Wisconsin rates for HCPCS E1226

Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.47 / $349.47 / $349.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.53 / $259.60 / $430.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.60 / $818.27 / $818.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.11 / $418.13 / $606.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.69 / $316.95 / $1,631.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.87 / $410.23 / $557.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.87 / $543.75 / $679.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.71 / $524.21 / $876.74
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $914.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.71 / $762.38 / $2,228.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.56 / $354.47 / $627.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $58.40 / $384.12
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.71 / $609.90 / $876.74
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $914.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.35 / $95.44 / $123.93
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.87 / $872.98 / $2,228.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.87 / $310.87 / $416.18
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.26 / $629.26 / $629.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.26 / $629.26 / $629.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.93 / $346.58 / $605.55