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Wisconsin rates for HCPCS K0108

Wheelchair component or accessory, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $229.09 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $134.90 / $165.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $173.78 / $524.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $64.57
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $380.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $229.09