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Texas rates for HCPCS E2621

Positioning wheelchair back cushion, planar back with lateral supports, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.57 / $332.04 / $441.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.51 / $1,933.71 / $2,230.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.36 / $38.18 / $38.18
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.08 / $405.81 / $431.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.98 / $530.98 / $692.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.55 / $354.55 / $562.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.37 / $354.55 / $465.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.64 / $2,544.80 / $2,544.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.85 / $441.07 / $692.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.67 / $488.50 / $692.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.85 / $360.84 / $692.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.37 / $354.55 / $465.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.97 / $330.49 / $488.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.64 / $430.75 / $430.75