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Wisconsin rates for HCPCS E2214

Manual Wheelchair Accessory Pneumatic Caster Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.01 / $28.01 / $28.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.01 / $25.16 / $30.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.70 / $72.25 / $72.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.88 / $36.92 / $53.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $27.96 / $107.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.90 / $25.90 / $105.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.90 / $45.75 / $57.19
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.77 / $40.22 / $57.83
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.48 / $24.48 / $60.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.77 / $50.42 / $185.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $23.79 / $49.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.36 / $50.00 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.77 / $40.22 / $57.83
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.48 / $24.48 / $60.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $8.68 / $11.27
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.90 / $77.02 / $185.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.90 / $25.90 / $34.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.42 / $46.42 / $46.42
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.42 / $46.42 / $46.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.78 / $23.39 / $47.33