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Wisconsin rates for HCPCS E2291

Back Planar For Pediatric Size Wheelchair Including Fixed Attaching Hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.98 / $238.98 / $238.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.98 / $238.98 / $241.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.47 / $357.47 / $357.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.13 / $180.13 / $180.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.11 / $180.13 / $185.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.98 / $238.98 / $430.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $238.98 / $430.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.98 / $238.98 / $430.16
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $90.00 / $180.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.13 / $180.13 / $180.13