go back

Utah rates for HCPCS E1150

Wheelchair, detachable arms, desk or full-length swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $870.96 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $134.90 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $630.96 / $831.76
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,148.15 / $1,174.90
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $117.49 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $331.13 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $478.63 / $870.96