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Tennessee rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.74 / $105.74 / $105.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.00 / $109.08 / $135.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.52 / $145.40 / $154.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $70.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $59.95 / $128.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.52 / $802.71 / $802.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.12 / $90.14 / $130.15