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Wisconsin rates for HCPCS E2217

Manual wheelchair accessory, foam filled caster tire, any size, each

Facilitymedian $52 · 10th–90th $4$1050%10%10th90th$52Professionalmedian $41 · 10th–90th $25$600%10%20%10th90th$41$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $34.67 / $53.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $95.50 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $52.48 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $64.57 / $102.33
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $46.77 / $67.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $67.61 / $229.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $28.84 / $50.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $50.12 / $89.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $66.07 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.96 / $14.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $104.71 / $229.09
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $31.62 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $18.62 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $52.48