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Texas rates for HCPCS K0108

Wheelchair component or accessory, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $262.50 / $1,829.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.63 / $430.63 / $430.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.57 / $228.57 / $228.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.89 / $99.89 / $228.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $100.00 / $382.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.48 / $108.73 / $318.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.57 / $228.57 / $228.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.89 / $99.89 / $228.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,500.00 / $2,500.00