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Utah rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Facilitymedian $407 · 10th–90th $47–$8130%10%10th90th$407Professionalmedian $513 · 10th–90th $100–$1,0470%10%20%10th90th$513$10.0$20.0$50.0$100.0$200.0$500.0$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
$331.13 / $331.13 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $741.31 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,047.13 / $1,096.48
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,047.13 / $1,230.27
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $104.71 / $147.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $354.81 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $512.86 / $1,023.29