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Utah rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Facilitymedian $63 · 10th–90th $6$1000%10%20%10th90th$63Professionalmedian $117 · 10th–90th $15$5750%10%10th90th$117$1.0$5.0$20.0$100.0$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
$42.66 / $107.15 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $93.33 / $173.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $95.50 / $138.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $147.91 / $169.82
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $147.91 / $162.18
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $17.78 / $147.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $46.77 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $69.18 / $128.82