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Wisconsin rates for HCPCS E2211

Manual Wheelchair Accessory Pneumatic Propulsion Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $24.53 / $33.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.40 / $73.53 / $73.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.56 / $37.57 / $54.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $28.47 / $122.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.34 / $28.34 / $103.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.09 / $45.00 / $56.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $44.27 / $65.75
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.49 / $29.49 / $68.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $57.17 / $203.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.26 / $26.60 / $53.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $50.00 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $44.27 / $65.75
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.49 / $29.49 / $68.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $8.68 / $11.27
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.34 / $78.42 / $203.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.09 / $28.34 / $37.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $50.70 / $50.70
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $50.70 / $50.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.88 / $26.60 / $50.70