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Georgia rates for HCPCS L1210

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.99 / $347.84 / $1,268.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.99 / $171.04 / $234.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.22 / $218.14 / $218.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.77 / $412.69 / $1,081.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.16 / $245.11 / $470.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.56 / $294.77 / $577.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.56 / $250.56 / $250.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.69 / $190.69 / $190.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $186.59 / $341.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.03 / $294.77 / $535.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.04 / $147.07 / $242.63