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Tennessee rates for HCPCS E2221

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.02 / $20.02 / $20.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.28 / $20.28 / $24.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $26.78 / $28.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $22.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $27.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.28 / $148.63 / $148.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $16.60 / $23.75