go back

Tennessee rates for HCPCS E1223

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.60 / $558.60 / $558.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.33 / $588.39 / $805.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.21 / $704.03 / $844.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.72 / $422.72 / $422.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.31 / $359.31 / $1,061.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.13 / $4,640.93 / $4,810.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.83 / $390.41 / $570.16