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Texas rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.41 / $823.30 / $1,155.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.30 / $1,403.30 / $1,403.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $1,369.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.53 / $606.51 / $624.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,689.26 / $7,407.45 / $7,677.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.72 / $988.42 / $1,403.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.09 / $140.33 / $1,274.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.72 / $853.22 / $1,403.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.05 / $606.51 / $606.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.00 / $697.80 / $990.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.49 / $1,033.06 / $1,033.06