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Georgia rates for HCPCS E1240

Lightweight Wheelchair Detachable Arms (Desk Or Full Length) Swing Away Detachable Elevating Legrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.65 / $719.58 / $1,146.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.68 / $781.38 / $2,353.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.01 / $122.36 / $961.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.01 / $104.01 / $104.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.81 / $200.00 / $1,590.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.69 / $1,312.44 / $2,165.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.05 / $569.15 / $926.00