go back

Georgia rates for HCPCS L1690

Combination Bilateral Lumbo-Sacral Hip Femur Orthosis Providing Adduction And Internal Rotation Control Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.45 / $1,112.45 / $2,642.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.90 / $1,213.69 / $1,742.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,342.54 / $3,279.56 / $8,597.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.30 / $1,887.00 / $3,739.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,932.95 / $1,991.16 / $4,333.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.16 / $1,991.16 / $1,991.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,300.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $2,780.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,780.33 / $2,342.54 / $3,254.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,896.15 / $2,928.18 / $2,986.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.11 / $1,168.66 / $1,928.09