go back

Wisconsin rates for HCPCS E1250

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

Facilitymedian $457 · 10th–90th $52$3,5480%10%10th90th$457Professionalmedian $447 · 10th–90th $200$6460%20%10th90th$447$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
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$446.68
Typical High
$501.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$776.25
Typical High
$870.96
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$446.68
Typical High
$812.83
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$812.83
Typical High
$3,548.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$724.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$89.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$190.55
Quartz
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$1,258.93
Typical High
$4,265.80
Quartz
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$323.59
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$724.44