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Texas rates for HCPCS E2629

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.08 / $701.51 / $947.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.58 / $1,144.58 / $1,232.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.97 / $394.97 / $1,040.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.33 / $335.72 / $897.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.82 / $5,453.18 / $5,453.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.78 / $900.22 / $1,232.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.38 / $921.73 / $1,133.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.97 / $810.41 / $1,232.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.33 / $394.97 / $897.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.22 / $608.94 / $862.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.18 / $862.67 / $862.67