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Utah rates for HCPCS E2632

Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control

Facilitymedian $83 · 10th–90th $9$1510%20%10th90th$83Professionalmedian $170 · 10th–90th $21$8510%10%10th90th$170$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
$83.18 / $141.25 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $83.18 / $229.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $134.90 / $194.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $213.80 / $245.47
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $213.80 / $234.42
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $24.55 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $67.61 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $97.72 / $190.55