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Tennessee rates for HCPCS E2204

Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.17 / $591.17 / $591.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.83 / $599.05 / $711.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.13 / $812.56 / $902.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $744.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.22 / $581.42 / $763.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.11 / $4,173.16 / $4,173.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.79 / $511.93 / $725.24