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Texas rates for HCPCS E2630

Wheelchair Accessory Shoulder Elbow Mobile Arm Support Monosuspension Arm And Hand Support Overhead Elbow Forearm Hand Sling Support Yoke Type Suspension Support

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.59 / $503.91 / $709.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.61 / $2,579.17 / $2,974.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.92 / $50.92 / $50.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.39 / $793.39 / $923.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.96 / $647.96 / $727.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.01 / $550.77 / $667.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.42 / $3,751.53 / $3,751.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.91 / $630.26 / $923.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.92 / $674.38 / $923.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.91 / $572.32 / $923.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.01 / $647.96 / $647.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.98 / $425.24 / $603.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.04 / $603.26 / $603.26