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Wisconsin rates for HCPCS E2603

Skin protection wheelchair seat cushion, width less than 22 in, any depth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.35 / $92.35 / $92.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.03 / $84.14 / $110.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.20 / $227.86 / $227.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.42 / $125.18 / $169.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.14 / $88.25 / $293.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.62 / $81.62 / $340.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.62 / $147.75 / $184.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $146.03 / $209.92
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.27 / $121.27 / $219.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.35 / $200.73 / $585.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.67 / $98.48 / $167.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $133.32
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $146.03 / $209.92
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.27 / $121.27 / $219.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.53 / $26.03 / $33.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.62 / $243.08 / $585.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.62 / $81.62 / $109.27
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.36 / $158.36 / $158.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.36 / $158.36 / $158.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.88 / $91.56 / $165.83