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Wisconsin rates for HCPCS E2395

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

Facilitymedian $58 · 10th–90th $6$1120%10%10th90th$58Professionalmedian $38 · 10th–90th $24$650%10%20%10th90th$38$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
$26.92 / $38.02 / $38.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $104.71 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $57.54 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $67.61 / $109.65
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $52.48 / $75.86
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $75.86 / $245.47
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $36.31 / $60.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $26.30 / $58.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $53.70 / $97.72
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $11.75 / $15.85
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $112.20 / $245.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $34.67 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $22.39 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $35.48 / $60.26