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Utah rates for HCPCS E0967

Manual wheelchair accessory, hand rim with projections, any type, replacement only, each

Facilitymedian $38 · 10th–90th $4–$620%20%10th90th$38Professionalmedian $63 · 10th–90th $9–$3550%10%10th90th$63$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
$25.12 / $63.10 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $102.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $60.26 / $83.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $91.20 / $97.72
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $91.20 / $91.20
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
$3.80 / $28.18 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $40.74 / $79.43