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Utah rates for HCPCS E1014

Reclining back, addition to pediatric size wheelchair

Facilitymedian $174 · 10th–90th $20–$3390%20%10th90th$174Professionalmedian $214 · 10th–90th $52–$5250%10%20%10th90th$214$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
$138.04 / $138.04 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $173.78 / $588.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $309.03 / $371.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $524.81 / $549.54
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $524.81 / $524.81
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $52.48 / $331.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $147.91 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $213.80 / $426.58