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Texas rates for HCPCS E1195

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.17 / $974.74 / $1,367.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.10 / $1,755.10 / $1,755.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $1,223.23 / $1,728.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,858.91 / $7,874.71 / $8,161.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.30 / $480.56 / $1,302.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.38 / $474.08 / $1,468.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.30 / $480.56 / $1,243.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $480.56 / $1,223.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.59 / $662.53 / $983.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.80 / $961.80 / $1,054.67