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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.31 / $32.17 / $41.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $100.10 / $100.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.14 / $51.15 / $74.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.70 / $35.01 / $117.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $134.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $58.50 / $73.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.00 / $51.90 / $74.61
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.10 / $43.10 / $77.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.00 / $80.00 / $239.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.85 / $35.96 / $66.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.47 / $45.79 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.00 / $51.90 / $74.61
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.10 / $43.10 / $77.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $11.04 / $14.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $106.78 / $239.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $39.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.93 / $59.93 / $59.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.93 / $59.93 / $59.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $35.00 / $63.66