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Georgia rates for HCPCS L1902

Ankle Orthosis Ankle Gauntlet Or Similiar With Or Without Joints Prefabricated Off-The-Shelf (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.95 / $109.20 / $524.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.95 / $57.83 / $126.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $68.48 / $146.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.54 / $129.56 / $339.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.34 / $76.95 / $147.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.44 / $111.05 / $152.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.66 / $92.54 / $129.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.94 / $58.00 / $58.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $56.93 / $104.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.33 / $92.54 / $131.80
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.34 / $73.34 / $73.34
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.91 / $103.68 / $174.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $46.17 / $76.16