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Wheelchair Accessory, Ventilator Tray, Gimbaled

Wisconsin rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Rates data updated July 2026.

Facilitymedian $1,175 · 10th–90th $145$2,6920%10%20%10th90th$1,175Professionalmedian $933 · 10th–90th $513$1,6220%20%10th90th$933$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,630.27
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,445.44
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,778.28
Typical High
$2,754.23
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,047.13
Typical High
$1,698.24
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,412.54
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$1,174.90
Network Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$1,071.52
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,047.13
Typical High
$1,698.24
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$316.23
Typical High
$363.08
Quartz
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,691.53
Typical High
$7,585.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$512.86
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$537.03
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$812.83
Typical High
$1,445.44