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Georgia rates for HCPCS E1233

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.50 / $1,547.52 / $2,466.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.45 / $2,260.04 / $5,061.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.66 / $263.13 / $3,552.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.13 / $263.13 / $263.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $1,406.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.80 / $1,406.76 / $3,588.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.64 / $2,822.69 / $5,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.87 / $1,302.91 / $2,270.07