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Utah rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Facilitymedian $316 · 10th–90th $37$6310%10%10th90th$316Professionalmedian $316 · 10th–90th $78$8130%10%20%10th90th$316$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
$257.04 / $257.04 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $691.83 / $1,348.96
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
$707.95 / $812.83 / $870.96
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $954.99
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $114.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $275.42 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $398.11 / $794.33