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Wisconsin rates for HCPCS E2221

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

Facilitymedian $34 · 10th–90th $3$790%10%10th90th$34Professionalmedian $24 · 10th–90th $14$390%20%10th90th$24$1.0$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
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $21.88 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $61.66 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.88 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $22.39 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $39.81 / $66.07
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $22.91 / $40.74
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $39.81 / $147.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $17.78 / $31.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $50.12 / $89.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $31.62 / $57.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $7.08 / $9.55
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $67.61 / $147.91
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $24.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $11.48 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $17.38 / $32.36