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Tennessee rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.52 / $53.52 / $53.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.53 / $54.14 / $69.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.67 / $73.84 / $78.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $59.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $74.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.41 / $405.24 / $405.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.40 / $44.70 / $63.64