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Texas rates for HCPCS E1221

Wheelchair with fixed arm, footrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $346.74 / $407.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $3,090.30 / $3,090.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $181.97 / $501.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $512.86 / $512.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $60.26 / $2,754.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $181.97 / $501.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $346.74 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $169.82 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $239.88 / $363.08