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Utah rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Facilitymedian $182 · 10th–90th $22–$2690%10%20%10th90th$182Professionalmedian $240 · 10th–90th $50–$5010%20%10th90th$240$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $239.88 / $616.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $288.40 / $457.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $501.19 / $616.60
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $501.19 / $588.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $50.12 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $134.90 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $169.82 / $338.84