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Texas rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.73 / $296.48 / $393.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.74 / $30.74
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.64 / $65.00 / $65.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.50 / $494.50 / $494.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.50 / $238.50 / $505.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $238.50 / $517.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.98 / $2,575.35 / $2,669.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.59 / $166.91 / $416.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.63 / $164.64 / $510.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.81 / $166.91 / $393.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.91 / $238.50 / $286.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $153.78 / $255.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.02 / $205.25 / $336.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.15 / $393.87 / $393.87