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Texas rates for HCPCS E1250

Lightweight wheelchair, fixed full-length arms, swing-away detachable footrest

Facilitymedian $427 · 10th–90th $49–$4,2660%10%20%10th90th$427Professionalmedian $490 · 10th–90th $347–$6310%20%10th90th$490$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $501.19 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $199.53
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $4,265.80 / $4,265.80
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $426.58 / $724.44
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $630.96 / $630.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $81.28 / $436.52
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $407.38 / $724.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $204.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $323.59 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $426.58 / $691.83
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60