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Tennessee rates for HCPCS E2293

Back, contoured, for pediatric size wheelchair including fixed attaching hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.99 / $412.99 / $412.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.55 / $412.99 / $412.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.60 / $251.60 / $296.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $90.00 / $100.00