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Georgia rates for HCPCS E2386

Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each

Facilitymedian $62 · 10th–90th $7–$1320%10%10th90th$62Professionalmedian $78 · 10th–90th $44–$1150%10%10th90th$78$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $77.62 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $97.72 / $154.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $109.65 / $154.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $81.28 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $81.28 / $239.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $131.83 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $57.54 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $95.50 / $144.54