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Georgia rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.19 / $1,086.19 / $2,580.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.19 / $1,373.73 / $1,848.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,287.23 / $3,202.12 / $8,394.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.40 / $1,901.79 / $3,651.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,944.15 / $2,076.69 / $4,231.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,944.15 / $1,944.15 / $1,944.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $1,499.97 / $1,499.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,499.97 / $2,832.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.29 / $2,287.23 / $4,155.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.72 / $1,141.07 / $1,882.58