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Tennessee rates for HCPCS K0890

Power Wheelchair Group 5 Pediatric Single Power Option Sling/Solid Seat/Back Patient Weight Capacity Up To And Including 125 Pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,874.59 / $7,874.59 / $7,874.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,197.07 / $7,874.59 / $7,874.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,100.47 / $7,100.47 / $7,100.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,035.40 / $7,100.47 / $7,100.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $80.00 / $8,277.75