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Georgia rates for HCPCS E2389

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.52 / $16.07 / $24.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.39 / $32.39 / $32.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $24.25 / $51.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $20.99 / $52.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $20.66 / $28.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $21.16 / $22.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $21.16 / $37.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $32.39 / $64.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $17.63 / $31.46