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Texas rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.18 / $500.41 / $705.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.40 / $905.40 / $905.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $659.87 / $1,068.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.23 / $4,248.00 / $4,402.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.33 / $259.29 / $691.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.87 / $255.80 / $771.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.42 / $259.29 / $623.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $259.29 / $659.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.02 / $382.18 / $532.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.79 / $534.79 / $585.75