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Tennessee rates for HCPCS E2205

Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.70 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $33.88 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $26.92 / $35.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $194.98 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $16.98 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $21.38 / $30.20