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Tennessee rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $954.99 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $741.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,623.41 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $380.19 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $446.68 / $676.08