go back

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
$346.74 / $346.74 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $346.74 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $457.09 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $436.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $2,398.83 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $223.87 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $295.12 / $426.58