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Wisconsin rates for HCPCS E2388

Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each

Facilitymedian $59 · 10th–90th $6$1170%10%10th90th$59Professionalmedian $45 · 10th–90th $24$720%10%20%10th90th$45$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
$38.02 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $38.02 / $38.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $107.15 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $72.44 / $114.82
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $48.98 / $69.18
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $69.18 / $269.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $34.67 / $56.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $30.20 / $58.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $54.95 / $102.33
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $13.80 / $19.05
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $117.49 / $275.42
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $38.02 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $22.39 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $33.88 / $58.88