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Georgia rates for HCPCS E2395

Power Wheelchair Accessory Caster Wheel Excludes Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.07 / $27.41 / $43.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.05 / $52.05 / $52.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $41.86 / $83.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $41.87 / $83.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $33.18 / $55.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $43.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $61.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.56 / $52.05 / $116.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $22.05 / $36.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.18 / $31.68 / $52.32