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Wisconsin rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Facilitymedian $813 · 10th–90th $79$2,2390%10%10th90th$813Professionalmedian $813 · 10th–90th $389$1,2300%10%20%10th90th$813$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $812.83 / $812.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,238.72 / $2,238.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,230.27 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,288.25 / $2,398.83
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $575.44 / $1,148.15
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $812.83 / $5,495.41
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $575.44 / $912.01
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $117.49
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $234.42 / $269.15
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,949.84 / $5,623.41
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $741.31 / $741.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $309.03 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $512.86 / $977.24