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Texas rates for HCPCS E1004

Wheelchair accessory, power seating system, recline only, with mechanical shear reduction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,529.67 / $3,380.35 / $4,770.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.91 / $1,700.35 / $1,916.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.17 / $343.17 / $343.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,805.40 / $5,805.40 / $5,805.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $5,636.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,790.46 / $3,282.89 / $3,381.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,060.99 / $30,467.00 / $31,577.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.41 / $4,085.91 / $5,805.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.10 / $586.34 / $5,324.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.41 / $3,496.92 / $5,805.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.28 / $3,282.89 / $3,282.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,254.56 / $2,859.96 / $4,138.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,741.77 / $4,316.60 / $4,316.60