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Texas rates for HCPCS E1171

Amputee wheelchair, fixed full-length arms, without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.72 / $657.00 / $872.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.80 / $1,119.80 / $1,119.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.90 / $687.90 / $687.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.10 / $687.90 / $687.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.33 / $5,025.03 / $5,208.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.48 / $306.58 / $850.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.66 / $111.98 / $935.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.18 / $306.58 / $787.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $687.90 / $687.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.26 / $451.99 / $627.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.02 / $608.02 / $682.02