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Tennessee rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.30 / $312.30 / $312.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.00 / $328.96 / $393.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.09 / $430.61 / $458.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.50 / $238.50 / $238.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $238.50 / $615.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.64 / $2,575.35 / $2,669.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.90 / $159.47 / $269.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.61 / $184.31 / $323.85