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Utah rates for HCPCS E1221

Wheelchair with fixed arm, footrests

Facilitymedian $224 · 10th–90th $26–$4470%10%10th90th$224Professionalmedian $282 · 10th–90th $59–$6170%10%20%10th90th$282$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$181.97 / $181.97 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $407.38 / $645.65
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
$524.81 / $616.60 / $645.65
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $616.60 / $676.08
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $61.66 / $69.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $190.55 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $281.84 / $562.34