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Texas rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.77 / $350.81 / $517.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $36.61 / $36.61
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.90 / $663.90 / $663.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.27 / $407.81 / $407.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,081.49 / $2,978.91 / $3,087.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.83 / $181.71 / $492.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.96 / $66.39 / $483.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.58 / $181.71 / $441.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.24 / $407.81 / $407.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.80 / $260.44 / $372.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.42 / $360.42 / $401.14