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Tennessee rates for HCPCS E2386

Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.63 / $87.63 / $87.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.27 / $90.02 / $104.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.99 / $127.89 / $141.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.17 / $81.17 / $81.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $81.17 / $101.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.29 / $582.10 / $582.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.52 / $75.58 / $121.53