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Tennessee rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.38 / $855.38 / $855.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.71 / $832.57 / $1,066.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.25 / $1,078.08 / $1,293.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.80 / $840.94 / $840.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.80 / $6,143.69 / $6,367.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.30 / $479.99 / $754.88