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Tennessee rates for HCPCS E2627

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.30 / $750.30 / $750.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.24 / $755.29 / $952.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.07 / $1,038.58 / $1,100.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $542.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.14 / $461.26 / $910.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.21 / $5,719.94 / $5,719.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.23 / $638.75 / $904.89