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Wisconsin rates for HCPCS E2614

Positioning wheelchair back cushion, posterior, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.11 / $395.11 / $395.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.25 / $333.40 / $441.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.90 / $1,051.78 / $1,051.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.45 / $537.48 / $780.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.12 / $353.43 / $1,236.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.71 / $358.71 / $1,411.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.71 / $612.38 / $765.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.05 / $524.03 / $753.30
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.14 / $435.14 / $786.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.05 / $786.05 / $2,574.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.02 / $362.24 / $709.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $488.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.05 / $554.80 / $753.30
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.14 / $435.14 / $786.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.28 / $120.69 / $156.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.71 / $1,122.20 / $2,574.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.71 / $358.71 / $421.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.79 / $624.79 / $624.79
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.79 / $624.79 / $624.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.32 / $236.26 / $339.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.47 / $353.35 / $675.05