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Wisconsin rates for HCPCS E1228

Special back height for wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.89 / $260.89 / $260.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.09 / $200.59 / $308.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.60 / $712.71 / $712.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.26 / $364.19 / $481.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.17 / $28.17 / $83.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.50 / $240.50 / $1,013.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.43 / $386.25 / $482.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $107.19 / $391.34
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.99 / $46.99 / $202.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.58 / $290.98 / $1,757.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.40 / $184.43 / $326.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $107.19 / $391.34
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.99 / $46.99 / $202.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.98 / $78.09 / $101.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.50 / $632.66 / $1,757.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.88 / $240.50 / $240.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.40 / $187.17 / $326.13