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Utah rates for HCPCS E2201

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in

Facilitymedian $182 · 10th–90th $18$2450%20%10th90th$182Professionalmedian $295 · 10th–90th $42$1,5490%20%10th90th$295$5.0$20.0$100.0$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
$141.25 / $141.25 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $245.47 / $426.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $257.04 / $371.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $398.11 / $501.19
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $398.11 / $467.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $47.86 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $138.04 / $245.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $181.97 / $316.23