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Texas rates for HCPCS E2628

Wheelchair Accessory Shoulder Elbow Mobile Arm Support Attached To Wheelchair Balanced Reclining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.83 / $532.25 / $707.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.73 / $50.73 / $50.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.74 / $879.74 / $919.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $822.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.64 / $313.98 / $711.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.06 / $4,343.22 / $4,343.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.55 / $686.53 / $919.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.62 / $719.81 / $846.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $640.58 / $919.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.64 / $369.39 / $711.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.64 / $481.19 / $681.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.80 / $681.69 / $681.69