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Texas rates for HCPCS E1297

Special Wheelchair Seat Depth By Upholstery (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.65 / $76.53 / $102.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.62 / $7.62 / $7.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.24 / $124.24 / $124.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $121.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $62.10 / $108.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.19 / $640.17 / $640.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.01 / $82.67 / $124.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.70 / $104.50 / $124.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.01 / $71.87 / $124.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $62.10 / $102.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.30 / $66.86 / $88.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $86.72