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Georgia rates for HCPCS L1030

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar bolster pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $45.71 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $229.09 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $79.43 / $120.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $109.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $97.72 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $35.48 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $45.71 / $83.18