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Georgia rates for HCPCS E1222

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.06 / $473.40 / $754.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.81 / $534.79 / $1,535.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.42 / $75.56 / $632.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.42 / $68.42 / $68.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $659.87 / $1,335.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.71 / $863.21 / $1,381.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.14 / $374.68 / $609.26