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Utah rates for HCPCS E2390

Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each

Facilitymedian $23 · 10th–90th $2–$380%20%10th90th$23Professionalmedian $39 · 10th–90th $5–$2190%10%20%10th90th$39$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
$15.85 / $36.31 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $60.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $33.11 / $47.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $51.29 / $54.95
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $51.29 / $52.48
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $6.17 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $16.98 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $24.55 / $48.98