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Tennessee rates for HCPCS E2328

Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,691.95 / $3,691.95 / $3,691.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,002.79 / $3,741.18 / $4,614.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,733.15 / $4,977.53 / $5,639.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.21 / $1,642.21 / $1,642.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.88 / $1,642.21 / $1,642.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,740.53 / $31,412.20 / $32,557.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,959.28 / $3,183.83 / $4,606.00