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Texas rates for HCPCS E1250

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.04 / $453.11 / $627.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $200.00 / $200.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.38 / $3,516.99 / $3,645.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.01 / $426.84 / $721.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.01 / $281.01 / $923.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $281.01 / $670.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $200.00 / $206.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.55 / $426.86 / $687.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.08 / $611.08 / $611.08