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Tennessee rates for HCPCS E1190

Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.10 / $1,022.10 / $1,022.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.31 / $1,022.10 / $1,274.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.36 / $1,288.11 / $1,373.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $1,140.20 / $1,897.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.42 / $7,340.19 / $7,607.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.66 / $617.47 / $917.03