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Tennessee rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $20.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $20.99 / $24.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.81 / $27.65 / $31.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $22.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $21.85 / $28.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.62 / $155.56 / $155.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.63 / $18.11 / $26.02