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Wisconsin rates for HCPCS E2384

Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.24 / $55.24 / $55.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.21 / $47.91 / $62.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $143.41 / $143.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.28 / $73.30 / $106.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.02 / $52.58 / $168.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $48.69 / $200.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.69 / $86.63 / $108.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.95 / $77.94 / $112.04
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.73 / $64.73 / $116.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.95 / $114.86 / $349.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.82 / $53.17 / $96.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.88 / $53.13 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.95 / $77.94 / $112.04
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.73 / $64.73 / $116.92
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $16.55 / $21.51
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $153.04 / $349.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.69 / $48.69 / $58.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.73 / $88.73 / $88.73
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.73 / $88.73 / $88.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.47 / $52.57 / $91.92