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Utah rates for HCPCS E2383

Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each

Facilitymedian $74 · 10th–90th $7–$1100%20%10th90th$74Professionalmedian $129 · 10th–90th $16–$6310%10%10th90th$129$2.0$10.0$50.0$200.0

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
$57.54 / $112.20 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $100.00 / $173.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $93.33 / $151.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $162.18 / $186.21
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $162.18 / $177.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.50 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $56.23 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $75.86 / $141.25