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Tennessee rates for HCPCS E2628

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.17 / $580.17 / $580.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.88 / $587.91 / $686.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.55 / $782.42 / $828.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $369.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.64 / $313.98 / $711.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.04 / $4,343.22 / $4,343.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.76 / $471.71 / $681.69