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Texas rates for HCPCS E1223

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.92 / $559.57 / $805.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.09 / $1,034.09 / $1,034.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.72 / $422.72 / $422.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.31 / $359.31 / $422.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.89 / $4,640.93 / $4,810.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.23 / $283.14 / $767.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.94 / $279.32 / $865.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.90 / $283.14 / $688.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.94 / $359.31 / $422.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.00 / $395.52 / $580.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.92 / $494.92 / $625.51