go back

Texas rates for HCPCS E1190

Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.12 / $959.64 / $1,274.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.23 / $90.23 / $90.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.70 / $1,635.70 / $1,635.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $1,140.20 / $1,897.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,664.84 / $7,340.19 / $7,607.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.10 / $447.80 / $1,213.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.03 / $150.47 / $1,368.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.14 / $447.80 / $1,152.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $447.80 / $1,140.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.43 / $607.95 / $901.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.98 / $887.98 / $979.75