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Wisconsin rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Facilitymedian $166 · 10th–90th $13$3390%10%20%10th90th$166Professionalmedian $129 · 10th–90th $78$2040%20%10th90th$129$10.0$20.0$50.0$100.0$200.0$500.0

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
$112.20 / $112.20 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $112.20 / $112.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $316.23 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $173.78 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $204.17 / $331.13
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $134.90 / $199.53
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $199.53 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $95.50 / $158.49
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
$83.18 / $158.49 / $295.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $38.90 / $52.48
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $338.84 / $794.33
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $70.79 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $60.26 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $93.33 / $165.96