go back

Wisconsin rates for HCPCS E2312

Power Wheelchair Accessory Hand Or Chin Control Interface Mini-Proportional Including Fixed Mounting Hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.26 / $1,877.26 / $1,877.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.49 / $1,689.53 / $2,220.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,817.50 / $5,127.85 / $5,127.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,074.35 / $2,620.28 / $3,521.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.70 / $258.52 / $769.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.28 / $1,414.26 / $7,569.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.28 / $3,266.25 / $4,082.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.39 / $1,877.26 / $3,379.07
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,057.67 / $2,057.67 / $3,381.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.39 / $2,817.50 / $12,643.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.58 / $1,691.76 / $3,328.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.39 / $2,815.89 / $3,379.07
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,057.67 / $2,057.67 / $3,381.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.42 / $563.20 / $731.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.28 / $4,550.96 / $12,643.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.14 / $1,414.26 / $1,414.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.83 / $1,690.50 / $3,138.25