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Tennessee rates for HCPCS E2216

Manual Wheelchair Accessory Foam Filled Propulsio N Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.50 / $33.50 / $33.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.24 / $35.28 / $52.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.70 / $42.13 / $46.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.06 / $36.06 / $36.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.65 / $36.06 / $45.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.39 / $258.29 / $258.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $22.56 / $40.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $27.90 / $46.27