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Utah rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Facilitymedian $30 · 10th–90th $3–$460%10%20%10th90th$30Professionalmedian $51 · 10th–90th $6–$2570%10%10th90th$51$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 / $43.65 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $42.66 / $70.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $41.69 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $79.43
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $64.57 / $75.86
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.76 / $64.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $21.88 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $30.90 / $57.54