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Utah rates for HCPCS E1028

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other

Facilitymedian $87 · 10th–90th $9$1170%10%20%10th90th$87Professionalmedian $129 · 10th–90th $16$2290%10%20%10th90th$129$2.0$10.0$50.0$200.0$1.0K

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
$79.43 / $102.33 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $109.65 / $186.21
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $104.71 / $151.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $162.18 / $229.09
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $162.18 / $218.78
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $16.22 / $169.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $67.61 / $117.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $79.43 / $173.78