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Wisconsin rates for HCPCS E2226

Manual wheelchair accessory, caster fork, any size, replacement only, each

Facilitymedian $50 · 10th–90th $5–$1000%10%10th90th$50Professionalmedian $34 · 10th–90th $20–$580%10%10th90th$34$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
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $32.36 / $32.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $91.20 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $50.12 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $33.11 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $57.54 / $95.50
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $42.66 / $60.26
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $58.88 / $218.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $26.30 / $46.77
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $50.12 / $89.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $46.77 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $10.23 / $13.80
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $100.00 / $218.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $30.90 / $36.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $16.98 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $47.86