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Georgia rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.31 / $42.37 / $66.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $66.87 / $137.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.36 / $57.68 / $133.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $52.73 / $77.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $74.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $103.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.59 / $82.71 / $132.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.84 / $42.25 / $75.39