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Utah rates for HCPCS E2631

Wheelchair accessory, addition to mobile arm support, elevating proximal arm

Facilitymedian $141 · 10th–90th $14–$2450%20%10th90th$141Professionalmedian $269 · 10th–90th $34–$1,3490%10%10th90th$269$5.0$20.0$100.0$500.0

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
$131.83 / $223.87 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $245.47 / $446.68
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $218.78 / $316.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $338.84 / $389.05
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $338.84 / $371.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $38.02 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $104.71 / $234.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $151.36 / $302.00