go back

Tennessee rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.60 / $876.60 / $876.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.97 / $888.29 / $1,093.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.91 / $1,105.09 / $1,326.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $606.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.53 / $606.51 / $606.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.70 / $7,407.45 / $7,677.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.20 / $755.95 / $1,063.90