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Utah rates for HCPCS E2394

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

Facilitymedian $36 · 10th–90th $4$500%20%10th90th$36Professionalmedian $58 · 10th–90th $7$2880%10%20%10th90th$58$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
$28.84 / $52.48 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $45.71 / $79.43
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $44.67 / $64.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $69.18 / $91.20
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $69.18 / $85.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.32 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $27.54 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $36.31 / $64.57