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Wisconsin rates for HCPCS E2389

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

Facilitymedian $33 · 10th–90th $3$870%10%10th90th$33Professionalmedian $24 · 10th–90th $13$410%10%10th90th$24$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
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $20.89 / $20.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $60.26 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $33.11 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $40.74 / $64.57
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $26.30 / $38.90
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $38.90 / $151.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $18.62 / $30.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $13.49 / $64.57
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $30.90 / $56.23
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $7.76 / $10.47
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $66.07 / $154.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.38 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $12.30 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $18.20 / $33.11