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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
$26.92 / $30.90 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $72.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $46.77 / $72.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $51.29 / $69.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $38.02 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.90 / $67.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $61.66 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $26.92 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $40.74 / $63.10