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Georgia rates for HCPCS E1011

Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.00 / $574.00 / $574.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.20 / $292.00 / $292.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.55 / $206.55 / $206.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $424.00 / $424.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.40 / $424.00 / $436.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,829.00 / $2,829.00 / $2,829.00