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Wisconsin rates for HCPCS E2341

Power Wheelchair Accessory Nonstandard Seat Framewidth 24-27 Inches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.44 / $500.44 / $500.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.02 / $450.39 / $591.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.00 / $1,366.82 / $1,366.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.43 / $698.52 / $1,013.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.03 / $405.26 / $1,607.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.38 / $461.38 / $2,293.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.17 / $870.75 / $1,088.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.62 / $500.44 / $900.79
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.06 / $430.06 / $901.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.62 / $901.32 / $3,528.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.49 / $374.72 / $836.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $445.64
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.62 / $500.44 / $900.79
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.06 / $430.06 / $901.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.13 / $149.87 / $194.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.38 / $1,467.00 / $3,528.39
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.17 / $461.38 / $530.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.10 / $751.10 / $751.10
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.10 / $751.10 / $751.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.43 / $374.72 / $751.10