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Wisconsin rates for HCPCS E2220

Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

Facilitymedian $32 · 10th–90th $3$680%10%20%10th90th$32Professionalmedian $23 · 10th–90th $15$390%10%20%10th90th$23$2.0$5.0$10.0$20.0$50.0$100.0

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
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $22.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $63.10 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $34.67 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $25.70 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $42.66 / $66.07
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $25.70 / $45.71
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $39.81 / $162.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $19.05 / $33.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $50.12 / $89.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $32.36 / $58.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $7.76 / $10.47
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $67.61 / $162.18
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $22.91 / $27.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $12.30 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $18.62 / $35.48