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Georgia rates for HCPCS E2375

Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.59 / $430.80 / $652.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.30 / $747.30 / $747.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.64 / $578.24 / $1,171.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.44 / $87.65 / $756.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.56 / $69.56 / $87.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $590.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.33 / $407.96 / $933.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.77 / $813.73 / $1,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.64 / $539.63 / $763.72