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Georgia rates for HCPCS E2221

Manual Wheelchair Accessory Solid (Rubber/Plastic) Caster Tire (Removable) Any Size Replacement Only Each. (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.48 / $16.01 / $26.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.32 / $31.32 / $31.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $25.32 / $52.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $22.76 / $50.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $19.97 / $30.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $27.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $36.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $31.32 / $50.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $16.61 / $29.38