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Utah rates for HCPCS E2221

Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Facilitymedian $17 · 10th–90th $1$230%10%20%10th90th$17Professionalmedian $24 · 10th–90th $3$1290%10%10th90th$24$0.5$2.0$10.0$50.0

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
$8.91 / $22.91 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $37.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $22.91 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $32.36 / $38.02
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $32.36 / $36.31
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.89 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $10.47 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $15.14 / $28.84