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Tennessee rates for HCPCS K0831

Power wheelchair, group 2 standard, seat elevator, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.50 / $1,663.50 / $1,663.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.50 / $1,663.50 / $1,663.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,522.69 / $3,522.69 / $3,522.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,915.00 / $3,915.00 / $4,893.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $80.00 / $3,522.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.76 / $1,565.64 / $3,319.43