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Texas rates for HCPCS K0004

High Strength Lightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.00 / $522.47 / $689.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.95 / $507.95 / $507.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.77 / $76.41 / $76.41
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.23 / $148.33 / $148.33
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.00 / $513.00 / $513.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.75 / $654.75 / $864.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.75 / $654.75 / $750.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,018.09 / $2,522.61 / $2,572.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.30 / $511.16 / $991.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.20 / $504.32 / $1,562.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.30 / $511.16 / $916.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $654.75 / $674.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.49 / $448.28 / $840.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.43 / $408.43 / $1,054.80