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Texas rates for HCPCS E1224

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.17 / $642.27 / $883.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.90 / $1,133.90 / $1,133.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.20 / $428.20 / $428.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.14 / $428.20 / $428.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.82 / $5,087.00 / $5,272.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.84 / $310.41 / $841.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.74 / $104.32 / $821.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.38 / $310.41 / $754.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.83 / $428.20 / $428.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.64 / $450.45 / $625.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.49 / $615.49 / $681.00