go back

Utah rates for HCPCS E2328

Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $4,570.88 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,659.59 / $6,918.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,548.13 / $4,365.16
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $2,041.74 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $2,951.21 / $5,248.07