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Wisconsin rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Facilitymedian $339 · 10th–90th $40–$9330%10%20%10th90th$339Professionalmedian $339 · 10th–90th $162–$5130%20%10th90th$339$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $338.84 / $338.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $933.25 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $512.86 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $239.88 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $660.69 / $1,000.00
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $288.40 / $537.03
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $338.84 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $229.09 / $346.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $50.12 / $295.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $112.20 / $125.89
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $912.01 / $2,691.53
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $239.88 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $147.91 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $204.17 / $398.11