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Tennessee rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.16 / $344.16 / $344.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.92 / $348.75 / $415.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.97 / $451.97 / $451.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.80 / $486.44 / $531.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $440.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $440.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.35 / $2,391.90 / $2,391.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.68 / $290.25 / $415.72