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Tennessee rates for HCPCS K0004

High strength, lightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.85 / $551.85 / $551.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.84 / $566.16 / $730.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.37 / $1,168.09 / $1,557.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.75 / $654.75 / $654.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.54 / $654.00 / $654.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.83 / $2,522.61 / $2,572.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.89 / $411.30 / $707.31