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Wisconsin rates for HCPCS E2391

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

Facilitymedian $23 · 10th–90th $2$790%10%10th90th$23Professionalmedian $15 · 10th–90th $9$260%20%10th90th$15$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
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.14
Typical High
$15.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$41.69
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$22.91
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$25.70
Typical High
$43.65
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$19.95
Typical High
$28.18
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$28.18
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$13.80
Typical High
$22.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$11.22
Typical High
$58.88
Network Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$21.38
Typical High
$38.90
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.57
Typical High
$6.31
Quartz
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$45.71
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.80
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$9.12
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$13.18
Typical High
$22.91