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Wisconsin rates for HCPCS E1399

Durable Medical Equipment Miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $56.80 / $152.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $25.05 / $25.05
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.37 / $80.37 / $80.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.37 / $80.37 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $214.45 / $214.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.37 / $80.37 / $80.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,900.00 / $5,900.00 / $5,900.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $25.05 / $25.05