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Texas rates for HCPCS E1014

Reclining back, addition to pediatric size wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.47 / $295.99 / $397.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.15 / $28.15 / $28.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.40 / $510.40 / $510.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.77 / $172.77 / $497.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.85 / $172.77 / $177.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.52 / $2,290.40 / $2,373.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.04 / $248.30 / $383.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.96 / $139.66 / $426.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.04 / $172.77 / $365.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.07 / $172.77 / $172.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.30 / $211.83 / $310.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.58 / $375.58 / $375.58