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Tennessee rates for HCPCS K0855

Power wheelchair, group 3 extra heavy-duty, captain's chair, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,277.03 / $10,277.03 / $10,277.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,358.65 / $10,414.04 / $12,817.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,289.24 / $12,951.94 / $15,542.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,102.62 / $10,102.62 / $10,102.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,587.24 / $10,102.62 / $10,102.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $11,041.73 / $11,041.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,502.05 / $5,356.07 / $7,296.19