go back

Tennessee rates for HCPCS E1234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.13 / $1,684.13 / $1,684.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.76 / $1,706.58 / $2,100.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.20 / $2,122.46 / $2,546.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,208.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.46 / $1,208.78 / $1,208.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.44 / $12,092.66 / $12,533.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.15 / $1,134.22 / $1,639.61