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Texas rates for HCPCS E2631

Wheelchair accessory, addition to mobile arm support, elevating proximal arm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $20.42 / $20.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $208.93 / $281.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,548.82 / $1,548.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $380.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $257.04 / $302.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $251.19 / $380.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $208.93 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $109.65 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $162.18 / $239.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88