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Texas rates for HCPCS E2369

Power wheelchair component, drive wheel gear box, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.28 / $270.55 / $368.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.00 / $440.00 / $440.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $461.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.86 / $332.93 / $349.92
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.29 / $1,865.59 / $1,933.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.20 / $172.10 / $449.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.47 / $54.20 / $492.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.20 / $172.10 / $427.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $332.93 / $332.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.19 / $258.76 / $382.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.80 / $370.70 / $370.70