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Texas rates for HCPCS E1017

Heavy-duty shock absorber for heavy-duty or extra heavy-duty manual wheelchair, each

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.84 / $105.84 / $105.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.74 / $104.74 / $104.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $90.00 / $100.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.12 / $134.12 / $134.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.84 / $105.84 / $105.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.74 / $104.74 / $134.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00