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Wisconsin rates for HCPCS E2601

General Use Wheelchair Seat Cushion Width Less Than 22 Inches Any Depth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.32 / $35.32 / $35.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.63 / $26.87 / $42.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.60 / $84.81 / $84.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.31 / $46.57 / $64.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $32.84 / $118.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.00 / $31.00 / $124.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $54.00 / $67.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.40 / $58.92 / $88.38
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.93 / $48.93 / $88.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.32 / $80.00 / $222.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $39.74 / $65.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.92 / $50.00 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.40 / $58.92 / $88.38
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.93 / $48.93 / $88.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $10.25 / $13.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.69 / $90.44 / $222.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $31.00 / $41.50
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.20 / $62.20 / $62.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.20 / $62.20 / $62.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.11 / $37.32 / $64.89