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Utah rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Facilitymedian $603 · 10th–90th $65–$1,0960%20%10th90th$603Professionalmedian $692 · 10th–90th $145–$1,4450%10%20%10th90th$692$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
$446.68 / $446.68 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $602.56 / $1,621.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $831.76 / $1,318.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,445.44 / $1,513.56
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,445.44 / $1,445.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $144.54 / $1,096.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $478.63 / $1,096.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $691.83 / $1,380.38