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Wisconsin rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Facilitymedian $31 · 10th–90th $3$870%10%10th90th$31Professionalmedian $22 · 10th–90th $12$370%20%10th90th$22$2.0$5.0$10.0$20.0$50.0$100.0

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
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $21.88 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $60.26 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $33.11 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $22.91 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $40.74 / $64.57
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $27.54 / $41.69
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $36.31 / $154.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $20.42 / $33.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $50.12 / $89.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $30.90 / $57.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $7.08 / $9.55
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $66.07 / $154.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $21.88 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $12.59 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $19.95 / $33.88