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Tennessee rates for HCPCS E1233

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,934.40 / $1,934.40 / $1,934.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.31 / $1,960.19 / $2,412.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,936.70 / $2,437.87 / $2,925.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $1,406.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.75 / $1,406.76 / $1,406.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,835.97 / $13,890.95 / $14,397.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.60 / $1,411.48 / $1,977.54