go back

Georgia rates for HCPCS E0955

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.18 / $95.08 / $146.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.04 / $164.42 / $167.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.41 / $164.41 / $164.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $139.97 / $279.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.65 / $20.69 / $172.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.65 / $14.65 / $20.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.12 / $129.12 / $153.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $129.12 / $202.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.72 / $192.07 / $484.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.61 / $111.70 / $180.27