go back

Texas rates for HCPCS E2611

General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.48 / $139.72 / $194.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.05 / $209.17 / $290.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.76 / $1,050.86 / $1,212.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $20.75 / $20.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.06 / $237.97 / $376.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $126.72 / $235.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.71 / $126.72 / $169.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.26 / $908.34 / $908.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.48 / $257.14 / $376.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.59 / $180.06 / $376.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.48 / $177.13 / $376.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.71 / $126.72 / $169.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.66 / $159.35 / $265.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.40 / $152.21 / $152.21