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Tennessee rates for HCPCS E1250

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.84 / $463.84 / $463.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.25 / $470.02 / $627.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.24 / $783.17 / $1,044.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $200.00 / $200.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.38 / $3,516.99 / $3,645.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.32 / $384.70 / $654.04