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Texas rates for HCPCS E1234

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.98 / $1,557.60 / $2,218.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.68 / $148.68 / $148.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.20 / $2,695.20 / $2,695.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $2,629.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.46 / $1,208.78 / $1,245.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,390.22 / $12,092.66 / $12,533.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.52 / $1,311.69 / $2,100.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.96 / $737.82 / $2,255.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.52 / $1,208.78 / $2,088.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.49 / $1,208.78 / $1,208.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.68 / $1,132.64 / $1,639.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.06 / $1,984.08 / $1,984.08