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Georgia rates for HCPCS E2390

Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $24.94 / $38.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.16 / $50.16 / $50.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $37.93 / $80.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $32.84 / $80.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $31.98 / $43.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $32.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $32.79 / $58.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.11 / $50.16 / $353.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $27.58 / $49.21