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Tennessee rates for HCPCS E2294

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.70 / $275.70 / $275.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.70 / $275.70 / $301.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.63 / $226.63 / $226.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.64 / $192.64 / $226.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $90.00 / $90.00