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Wisconsin rates for HCPCS E2390

Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each

Facilitymedian $51 · 10th–90th $5$1020%10%10th90th$51Professionalmedian $33 · 10th–90th $19$630%10%10th90th$33$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
$33.11 / $33.11 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $33.11 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $93.33 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $51.29 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $63.10 / $100.00
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $41.69 / $60.26
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $60.26 / $234.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $29.51 / $47.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $23.99 / $64.57
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $47.86 / $87.10
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $11.75 / $15.85
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $102.33 / $239.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $19.05 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $28.18 / $51.29