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Georgia rates for HCPCS L0160

Cervical Semi-Rigid Wire Frame Occipital/ Mandibular Support Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.35 / $95.35 / $226.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.33 / $114.34 / $147.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.79 / $281.11 / $736.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.62 / $166.95 / $320.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.97 / $170.67 / $371.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.67 / $170.67 / $170.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $121.82 / $121.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $119.20 / $218.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.60 / $200.79 / $278.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.51 / $341.34 / $378.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.78 / $100.17 / $165.26