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Tennessee rates for HCPCS E2604

Skin Protection Wheelchair Seat Cushion Width 22 Inches Or Greater Any Depth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.42 / $116.42 / $116.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.68 / $117.97 / $145.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.19 / $168.68 / $180.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $115.51 / $151.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.18 / $115.51 / $151.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.86 / $829.11 / $829.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $102.29 / $160.15