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Utah rates for HCPCS E1233

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system

Facilitymedian $1,202 · 10th–90th $120–$2,0420%20%10th90th$1,202Professionalmedian $1,288 · 10th–90th $309–$3,1620%10%20%10th90th$1,288$20.0$100.0$500.0$2.0K

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
$851.14 / $851.14 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $1,412.54 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,862.09 / $2,238.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,162.28 / $3,311.31
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,162.28 / $3,162.28
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $316.23 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $891.25 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $1,288.25 / $2,630.27