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Tennessee rates for HCPCS E2376

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.95 / $949.95 / $949.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.63 / $962.62 / $1,187.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.23 / $1,314.18 / $1,478.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.26 / $642.26 / $642.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.91 / $642.26 / $642.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.52 / $8,276.54 / $8,578.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.16 / $844.78 / $1,197.38