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Wisconsin rates for HCPCS K0098

Drive belt for power wheelchair, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.95 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $56.23 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $30.90 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $41.69 / $58.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $26.30 / $38.02
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $33.11 / $134.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $18.20 / $30.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $50.12 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $6.31 / $8.51
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $60.26 / $134.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.95 / $22.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $12.59 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $17.78 / $33.11