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Tennessee rates for HCPCS E1170

Amputee wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.85 / $662.85 / $662.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.42 / $679.50 / $972.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.71 / $835.46 / $1,002.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.64 / $766.64 / $766.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.64 / $651.64 / $1,230.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,142.94 / $5,600.27 / $5,804.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.77 / $454.66 / $699.48