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Utah rates for HCPCS E2387

Power wheelchair accessory, foam filled caster tire, any size, replacement only, each

Facilitymedian $30 · 10th–90th $3–$410%10%20%10th90th$30Professionalmedian $52 · 10th–90th $6–$2450%10%10th90th$52$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
$25.12 / $44.67 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $38.90 / $67.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $44.67 / $57.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $63.10 / $77.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $63.10 / $74.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.59 / $64.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $22.91 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $31.62 / $57.54