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Tennessee rates for HCPCS E2201

Manual Wheelchair Accessory Nonstandard Seat Frame Width Greater Than Or Equal To 20 Inches And Less Than 24 Inches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.92 / $257.92 / $257.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.77 / $262.62 / $310.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.60 / $372.72 / $414.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.42 / $243.42 / $325.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $243.42 / $325.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.78 / $1,745.64 / $1,745.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.91 / $216.45 / $330.47