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Texas rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.95 / $18.26 / $25.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.69 / $90.25 / $103.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.85 / $1.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $32.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $21.85 / $28.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $155.56 / $155.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.63 / $24.55 / $32.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $26.45 / $30.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.63 / $21.85 / $31.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $21.85 / $28.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $17.50 / $25.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.37 / $26.78 / $26.78