go back

Texas rates for HCPCS E1170

Amputee wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.28 / $723.24 / $972.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.09 / $1,248.09 / $1,248.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.64 / $766.64 / $766.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.64 / $651.64 / $1,230.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,033.18 / $5,600.27 / $5,804.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.27 / $341.60 / $925.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.68 / $124.81 / $887.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.89 / $341.60 / $830.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.68 / $651.64 / $766.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.49 / $503.55 / $700.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.51 / $677.51 / $749.51