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Texas rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.84 / $52.02 / $69.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $5.43 / $5.43
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.14 / $86.14 / $99.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $82.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $74.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.47 / $405.24 / $405.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.30 / $64.14 / $99.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.92 / $73.22 / $86.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.30 / $59.01 / $99.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $74.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.83 / $44.96 / $60.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.64 / $67.55 / $67.55