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Utah rates for HCPCS E2222

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

Facilitymedian $12 · 10th–90th $1–$190%10%20%10th90th$12Professionalmedian $20 · 10th–90th $3–$1070%10%10th90th$20$0.2$1.0$5.0$20.0$100.0

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
$7.94 / $19.05 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $17.38 / $30.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $18.62 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $26.30 / $31.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $26.30 / $29.51
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.16 / $26.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $8.71 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $12.88 / $23.99