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Utah rates for HCPCS E2369

Power wheelchair component, drive wheel gear box, replacement only

Facilitymedian $209 · 10th–90th $22–$3630%10%10th90th$209Professionalmedian $331 · 10th–90th $48–$4790%10%20%10th90th$331$5.0$10.0$20.0$50.0$100.0$200.0$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
$173.78 / $173.78 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $331.13 / $524.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $281.84 / $446.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $478.63 / $562.34
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $478.63 / $537.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $47.86 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $162.18 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $229.09 / $380.19