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Wisconsin rates for HCPCS E2293

Back, contoured, for pediatric size wheelchair including fixed attaching hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $407.38 / $512.86
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $416.87 / $741.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $416.87 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $89.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $295.12 / $295.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $302.00