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Utah rates for HCPCS E2391

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

Facilitymedian $10 · 10th–90th $1–$150%20%10th90th$10Professionalmedian $17 · 10th–90th $2–$870%10%10th90th$17$0.2$1.0$5.0$20.0

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
$7.08 / $15.14 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $22.39
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.80 / $19.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $21.88 / $25.70
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $21.88 / $24.55
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.57 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $7.76 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $10.47 / $19.50