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Wisconsin rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Facilitymedian $132 · 10th–90th $13$2400%10%10th90th$132Professionalmedian $105 · 10th–90th $26$1510%20%10th90th$105$5.0$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
$104.71 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $97.72 / $104.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $239.88 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $131.83 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $117.49 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $169.82 / $257.04
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $81.28 / $104.71
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $104.71 / $208.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $18.62 / $131.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $12.59 / $58.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $28.18 / $32.36
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $169.82 / $194.98
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $89.13 / $97.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $19.05 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $13.80 / $144.54