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Wisconsin rates for HCPCS E2215

Manual wheelchair accessory, tube for pneumatic caster tire, any size, each

Facilitymedian $13 · 10th–90th $1$620%10%10th90th$13Professionalmedian $9 · 10th–90th $5$150%10%10th90th$9$0.5$2.0$10.0$50.0

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
$7.94
Median
$7.94
Typical High
$7.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.94
Typical High
$7.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$23.44
Typical High
$23.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.88
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$15.49
Typical High
$24.55
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$8.71
Typical High
$15.49
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$13.49
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.76
Typical High
$12.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$50.12
Typical High
$89.13
Network Health
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$11.75
Typical High
$21.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$3.09
Typical High
$4.27
Quartz
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$25.12
Typical High
$79.43
Quartz
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.94
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$4.27
Typical High
$9.55
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.61
Typical High
$12.88