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Wisconsin rates for HCPCS E2222

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

Facilitymedian $28 · 10th–90th $3$710%10%20%10th90th$28Professionalmedian $19 · 10th–90th $11$320%10%10th90th$19$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
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $18.20 / $18.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $51.29 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $28.18 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $33.11 / $53.70
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $23.44 / $33.88
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $33.11 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $14.79 / $26.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $50.12 / $89.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $25.70 / $47.86
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $6.17 / $8.51
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $54.95 / $123.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $17.38 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $9.33 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.45 / $27.54