go back

Utah rates for HCPCS E1087

High strength lightweight wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $1,148.15 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,230.27 / $2,570.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,778.28 / $1,819.70
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $181.97 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $512.86 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $741.31 / $1,348.96