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Wisconsin rates for HCPCS E2342

Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.04 / $417.04 / $417.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.35 / $375.34 / $493.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.90 / $1,139.14 / $1,139.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.09 / $582.11 / $844.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.02 / $337.73 / $1,339.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.90 / $353.90 / $1,911.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.82 / $725.63 / $907.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.35 / $417.04 / $750.67
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.38 / $358.38 / $751.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.35 / $751.12 / $2,940.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.41 / $312.27 / $697.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $388.04
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.35 / $456.99 / $750.67
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.38 / $358.38 / $751.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.62 / $125.42 / $162.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.90 / $1,222.52 / $2,940.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.90 / $353.90 / $442.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.92 / $625.92 / $625.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.92 / $625.92 / $625.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.19 / $375.56 / $697.15