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Tennessee rates for HCPCS E2222

Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $16.82 / $16.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.68 / $17.04 / $20.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.54 / $22.08 / $23.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $17.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $30.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.78 / $124.16 / $124.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $13.69 / $19.23