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Georgia rates for HCPCS L1810

Knee Orthosis Elastic With Joints Prefabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $97.75 / $332.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.61 / $84.75 / $185.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $75.73 / $110.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.66 / $205.32 / $538.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $121.95 / $234.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.31 / $124.66 / $271.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.66 / $124.66 / $124.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $78.50 / $143.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.46 / $146.66 / $204.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.02 / $187.62 / $271.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.78 / $68.87 / $120.72