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Tennessee rates for HCPCS E2612

General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.92 / $253.92 / $253.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.72 / $254.41 / $304.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.14 / $340.14 / $340.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.17 / $363.81 / $404.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $326.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.21 / $243.78 / $326.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.34 / $1,749.66 / $1,749.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.78 / $236.15 / $357.91