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Georgia rates for HCPCS E2389

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

Facilitymedian $14 · 10th–90th $1–$280%5%10%10th90th$14Professionalmedian $17 · 10th–90th $10–$250%10%10th90th$17$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$12.88 / $16.98 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $23.44 / $37.15
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $20.89 / $32.36
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $20.89 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.38 / $60.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $33.11 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $10.96 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $17.78 / $31.62