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Texas rates for HCPCS E1233

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.39 / $1,816.17 / $2,412.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.77 / $170.77 / $170.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,095.70 / $3,095.70 / $3,095.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $3,020.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.75 / $1,406.76 / $1,448.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,043.09 / $13,890.95 / $14,397.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.57 / $1,506.70 / $2,392.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.80 / $847.52 / $2,590.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.57 / $1,406.76 / $2,392.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.80 / $1,406.76 / $1,406.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.76 / $1,301.08 / $1,883.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,970.04 / $2,279.06 / $2,279.06