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Georgia rates for HCPCS E2628

Wheelchair Accessory Shoulder Elbow Mobile Arm Support Attached To Wheelchair Balanced Reclining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.65 / $464.14 / $787.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.85 / $904.85 / $904.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.56 / $725.68 / $1,651.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.36 / $588.53 / $1,458.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.92 / $576.84 / $784.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $369.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.64 / $369.39 / $1,046.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.69 / $904.85 / $1,820.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.76 / $481.19 / $875.57