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Georgia rates for HCPCS L1220

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.53 / $505.72 / $505.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.53 / $149.72 / $206.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.59 / $349.43 / $916.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.07 / $207.53 / $398.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.15 / $243.88 / $461.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.15 / $212.15 / $212.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.61 / $185.61 / $185.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $181.62 / $332.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.69 / $249.59 / $453.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.26 / $195.26 / $195.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.01 / $124.52 / $205.42