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Georgia rates for HCPCS E1171

Amputee Wheelchair Fixed Full Length Arms Without Footrests Or Legrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.73 / $552.05 / $892.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.09 / $608.02 / $1,619.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.09 / $95.18 / $780.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.90 / $80.90 / $80.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.90 / $687.90 / $687.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $687.90 / $1,188.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.77 / $1,021.10 / $1,633.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.38 / $442.97 / $698.46