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Tennessee rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $100.00 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $97.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $194.98 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $12.59 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $20.89 / $141.25