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Tennessee rates for HCPCS K0861

Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,412.58 / $6,412.58 / $6,412.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,215.56 / $6,498.08 / $7,997.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,880.75 / $4,880.75 / $4,880.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,420.26 / $8,081.72 / $8,620.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,960.08 / $4,978.93 / $4,978.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,232.09 / $4,232.09 / $11,898.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $6,889.88 / $6,889.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,275.46 / $3,496.32 / $5,570.10