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Tennessee rates for HCPCS K0005

Ultralightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.08 / $1,614.08 / $1,614.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.78 / $1,635.60 / $2,013.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,799.11 / $1,799.11 / $1,937.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.03 / $2,052.04 / $2,324.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.50 / $1,460.50 / $1,872.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.43 / $1,460.50 / $1,916.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,405.46 / $12,056.48 / $12,064.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.01 / $1,234.88 / $1,718.45