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Wisconsin rates for HCPCS E1296

Special Wheelchair Seat Height From Floor (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.03 / $389.03 / $389.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.02 / $389.03 / $541.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.40 / $1,079.99 / $1,079.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.02 / $551.86 / $801.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.68 / $315.05 / $1,249.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $234.00 / $1,791.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.90 / $772.88 / $966.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.06 / $389.03 / $700.25
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.34 / $334.34 / $700.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.06 / $700.67 / $3,019.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.02 / $339.84 / $703.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.06 / $389.03 / $700.25
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.34 / $334.34 / $700.67
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.33 / $139.62 / $181.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $1,140.42 / $3,019.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.90 / $234.00 / $489.07
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.89 / $583.89 / $583.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.89 / $583.89 / $583.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.08 / $336.67 / $677.03