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Tennessee rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.48 / $365.48 / $365.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.25 / $384.97 / $517.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.03 / $460.69 / $552.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.64 / $407.81 / $407.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.91 / $2,978.91 / $3,087.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.42 / $246.58 / $372.37