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Tennessee rates for HCPCS E1297

Special wheelchair seat depth, by upholstery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.22 / $79.22 / $79.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.43 / $80.27 / $102.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.53 / $95.09 / $114.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $62.10 / $102.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.79 / $640.17 / $640.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $61.98 / $93.36