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Wisconsin rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Facilitymedian $63 · 10th–90th $6$1260%10%10th90th$63Professionalmedian $51 · 10th–90th $30$760%10%20%10th90th$51$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
$42.66 / $42.66 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $42.66 / $51.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $114.82 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $63.10 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $75.86 / $123.03
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $60.26 / $91.20
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $79.43 / $309.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $43.65 / $74.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $31.62 / $58.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $61.66 / $107.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $14.13 / $19.05
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $125.89 / $309.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $42.66 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $26.92 / $47.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $43.65 / $74.13