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Georgia rates for HCPCS E2617

Custom fabricated wheelchair back cushion, any size, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $724.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $2,691.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $630.96 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $407.38 / $758.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,165.95