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Georgia rates for HCPCS E1234

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.98 / $1,347.30 / $2,147.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.06 / $1,967.53 / $4,406.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.62 / $229.50 / $3,092.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,953.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.49 / $1,208.78 / $3,123.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.26 / $2,457.27 / $10,349.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.64 / $1,215.24 / $2,218.29