go back

Utah rates for HCPCS E1100

Semi-reclining wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,023.29 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,000.00 / $1,412.54
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
$1,230.27 / $1,258.93 / $1,380.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $125.89 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $416.87 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $616.60 / $1,122.02