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Tennessee rates for HCPCS E2394

Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $45.71 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $63.10 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $45.71 / $54.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $331.13 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $32.36 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $44.67 / $64.57