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Wisconsin rates for HCPCS E2394

Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each

Facilitymedian $74 · 10th–90th $7$2090%10%10th90th$74Professionalmedian $55 · 10th–90th $35$870%10%20%10th90th$55$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
$50.12 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $50.12 / $50.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $134.90 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $74.13 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $87.10 / $141.25
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $74.13 / $107.15
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $107.15 / $331.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $50.12 / $83.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $34.67 / $64.57
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $70.79 / $125.89
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $15.85 / $20.89
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $144.54 / $331.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $45.71 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $31.62 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $50.12 / $85.11