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Utah rates for HCPCS E0966

Manual wheelchair accessory, headrest extension, each

Facilitymedian $35 · 10th–90th $4–$600%20%10th90th$35Professionalmedian $65 · 10th–90th $9–$3470%10%20%10th90th$65$1.0$5.0$20.0$100.0

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
$26.92 / $64.57 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $35.48 / $104.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $60.26 / $85.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $91.20 / $100.00
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $91.20 / $95.50
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $91.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $26.92 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $39.81 / $75.86