go back

Tennessee rates for HCPCS E2632

Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.30 / $131.19 / $162.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.62 / $174.50 / $184.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.15 / $83.15 / $83.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.70 / $70.68 / $158.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.36 / $970.44 / $970.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.72 / $107.32 / $153.44