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Texas rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.95 / $107.73 / $152.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.41 / $168.41 / $199.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $157.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $59.95 / $128.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.27 / $802.71 / $802.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.87 / $135.93 / $199.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.34 / $143.15 / $199.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $118.87 / $199.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $70.53 / $128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.08 / $91.58 / $130.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.53 / $130.15 / $130.15