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Wisconsin rates for HCPCS E2613

Positioning Wheelchair Back Cushion Posterior Width Less Than 22 Inches Any

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.99 / $264.99 / $264.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.49 / $238.48 / $310.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.20 / $684.68 / $684.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.84 / $353.12 / $507.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.04 / $255.38 / $805.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.17 / $243.17 / $1,004.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.17 / $436.13 / $545.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.34 / $378.66 / $544.32
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.43 / $314.43 / $567.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.34 / $567.98 / $1,744.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.57 / $262.62 / $487.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $292.50
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.34 / $397.49 / $544.32
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.43 / $314.43 / $567.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.66 / $82.82 / $107.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.17 / $730.42 / $1,744.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.17 / $243.17 / $319.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.14 / $438.14 / $438.14
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.14 / $438.14 / $438.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.47 / $255.33 / $438.38