go back

Utah rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Facilitymedian $71 · 10th–90th $7–$1230%20%10th90th$71Professionalmedian $141 · 10th–90th $18–$7080%10%10th90th$141$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
$70.79 / $117.49 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $70.79 / $190.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $112.20 / $162.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $177.83 / $204.17
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $177.83 / $194.98
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $21.38 / $177.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $56.23 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $81.28 / $158.49