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Tennessee rates for HCPCS E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.73 / $349.73 / $349.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.44 / $354.39 / $437.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.58 / $420.58 / $420.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.87 / $450.92 / $541.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $382.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.46 / $279.36 / $382.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.24 / $3,065.64 / $3,177.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.60 / $313.02 / $433.17