go back

Georgia rates for HCPCS L1850

Knee Orthosis Swedish Type Prefabricated Off- The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.13 / $140.13 / $365.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.85 / $177.02 / $214.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.58 / $284.58 / $284.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.89 / $342.85 / $898.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.88 / $230.89 / $465.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.70 / $244.89 / $453.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.16 / $208.16 / $208.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $214.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $214.95 / $256.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.66 / $244.89 / $475.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.35 / $313.83 / $453.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.55 / $161.78 / $270.98