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Wisconsin rates for HCPCS K0004

High strength, lightweight wheelchair

Facilitymedian $631 · 10th–90th $59$1,8620%10%20%10th90th$631Professionalmedian $525 · 10th–90th $302$7590%20%40%10th90th$525$1.0$5.0$20.0$100.0$500.0$2.0K

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
$562.34 / $562.34 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $562.34 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $954.99 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $524.81 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $676.08 / $1,000.00
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $524.81 / $977.24
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $831.76 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $501.19 / $776.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $50.12 / $416.87
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $109.65 / $147.91
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $1,862.09 / $3,981.07
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $660.69 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $338.84 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $446.68 / $776.25