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Wisconsin rates for HCPCS E2392

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

Facilitymedian $56 · 10th–90th $6$1510%10%10th90th$56Professionalmedian $39 · 10th–90th $24$650%10%10th90th$39$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
$23.99 / $38.02 / $38.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $102.33 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $56.23 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $63.10 / $109.65
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $52.48 / $74.13
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $74.13 / $239.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $35.48 / $60.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $27.54 / $58.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $52.48 / $95.50
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $10.96 / $14.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $112.20 / $239.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $38.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $22.39 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $34.67 / $60.26