go back

Wisconsin rates for HCPCS E2632

Wheelchair Accessory Addition To Mobile Arm Support Offset Or Lateral Rocker Arm With Elastic Balance Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.71 / $137.71 / $137.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.41 / $119.79 / $157.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.00 / $373.10 / $373.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.60 / $190.65 / $276.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.66 / $117.53 / $438.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.15 / $83.15 / $599.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.68 / $228.75 / $285.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.63 / $187.85 / $250.57
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.47 / $261.47 / $261.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.63 / $250.57 / $970.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.63 / $115.08 / $255.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $121.03
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.71 / $206.57 / $250.57
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.47 / $261.47 / $261.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.06 / $45.75 / $59.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.15 / $397.96 / $970.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.14 / $83.14 / $83.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.87 / $217.87 / $217.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.87 / $217.87 / $217.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.02 / $126.56 / $243.06