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Georgia rates for HCPCS L1755

Legg Perthes Orthotic, (Patten Bottom Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.48 / $882.48 / $2,096.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.03 / $1,114.71 / $1,343.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.27 / $2,601.58 / $6,819.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.70 / $1,545.12 / $2,966.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,579.53 / $1,833.71 / $3,437.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,579.53 / $1,579.53 / $1,579.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.53 / $1,395.53 / $1,395.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,018.74 / $2,500.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.29 / $1,858.27 / $2,693.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,297.44 / $2,322.84 / $2,369.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.04 / $927.07 / $1,814.72