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Georgia rates for HCPCS E2387

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.19 / $32.29 / $51.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.05 / $60.05 / $60.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $48.16 / $96.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.43 / $49.84 / $96.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $38.28 / $69.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.01 / $39.01 / $51.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $39.01 / $67.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.64 / $60.05 / $145.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.44 / $38.85 / $62.14