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Wisconsin rates for HCPCS E2632

Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control

Facilitymedian $209 · 10th–90th $15–$4170%10%10th90th$209Professionalmedian $155 · 10th–90th $91–$2450%10%20%10th90th$155$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$138.04 / $138.04 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $138.04 / $138.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $380.19 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $208.93 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $245.47 / $407.38
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $173.78 / $251.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $251.19 / $977.24
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $112.20 / $194.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $120.23
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $194.98 / $354.81
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $45.71 / $61.66
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $416.87 / $977.24
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $83.18 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $70.79 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $109.65 / $204.17