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Wisconsin rates for HCPCS E2615

Positioning Wheelchair Back Cushion Posterior-Lateral Width Less Than 22

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.87 / $299.87 / $299.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.15 / $270.62 / $353.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.60 / $769.13 / $769.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.02 / $401.00 / $570.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.19 / $293.88 / $904.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.51 / $277.51 / $1,133.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.51 / $492.00 / $615.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.00 / $435.75 / $626.39
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.86 / $361.86 / $653.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.00 / $653.63 / $1,990.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.00 / $297.20 / $567.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $354.80
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.00 / $449.81 / $626.39
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.86 / $361.86 / $653.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.78 / $96.23 / $124.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.51 / $820.62 / $1,990.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.51 / $277.51 / $371.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.18 / $502.18 / $502.18
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.18 / $502.18 / $502.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.84 / $293.85 / $538.28