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Utah rates for HCPCS E2388

Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each

Facilitymedian $26 · 10th–90th $3–$450%20%10th90th$26Professionalmedian $45 · 10th–90th $6–$2510%10%20%10th90th$45$0.5$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
$19.05 / $41.69 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $38.02 / $67.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $38.02 / $54.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $58.88 / $63.10
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $58.88 / $60.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $7.08 / $58.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $19.95 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $28.84 / $56.23