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Tennessee rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.03 / $503.03 / $503.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.13 / $529.85 / $705.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.61 / $633.86 / $760.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $659.87 / $1,068.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.60 / $4,248.00 / $4,402.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.26 / $341.49 / $522.16