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Georgia rates for HCPCS L1100

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $107.15 / $162.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $436.52 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $151.36 / $245.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $223.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $186.21 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $89.13 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $91.20 / $177.83