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Tennessee rates for HCPCS E2220

Manual Wheelchair Accessory Solid (Rubber/Plastic) Propulsion Tire Any Size Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.49 / $22.49 / $22.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $22.78 / $25.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.75 / $29.90 / $35.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $22.73 / $25.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $22.73 / $29.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.21 / $162.68 / $162.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.46 / $18.38 / $26.04