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Utah rates for HCPCS E2225

Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each

Facilitymedian $10 · 10th–90th $1–$160%20%10th90th$10Professionalmedian $18 · 10th–90th $2–$910%10%20%10th90th$18$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
$6.03 / $15.85 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $14.45 / $26.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $16.22 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $22.91 / $26.30
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.91 / $24.55
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.75 / $22.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $7.41 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $10.72 / $20.42