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Tennessee rates for HCPCS K0108

Wheelchair Component Or Accessory Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $197.04 / $496.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.63 / $108.80 / $288.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.57 / $228.57 / $228.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.89 / $99.89 / $136.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $355.37 / $382.70