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Tennessee rates for HCPCS E2375

Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $537.03 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $407.38 / $407.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,630.78 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $363.08 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $478.63 / $691.83