go back

Tennessee rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.74 / $90.74 / $90.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.80 / $91.95 / $112.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.49 / $120.21 / $127.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $102.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $93.52 / $122.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.01 / $671.25 / $671.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.07 / $74.52 / $104.73