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Georgia rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.32 / $315.27 / $449.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $360.42 / $1,085.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.97 / $56.14 / $443.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.97 / $47.97 / $47.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.24 / $407.81 / $652.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.98 / $605.32 / $968.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.42 / $257.80 / $391.15