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Georgia rates for HCPCS E1172

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.95 / $684.30 / $1,090.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.20 / $743.01 / $2,238.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.45 / $116.37 / $954.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.91 / $98.91 / $98.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $840.94 / $1,586.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.22 / $1,248.42 / $2,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.30 / $552.32 / $880.66