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Georgia rates for HCPCS L1930

Ankle-foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.56 / $1,772.01 / $2,665.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.56 / $160.06 / $210.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.62 / $137.62 / $185.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.51 / $373.11 / $978.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $221.60 / $425.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.53 / $266.51 / $522.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.53 / $226.53 / $226.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $191.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $175.81 / $351.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.55 / $266.51 / $370.17
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.07 / $462.13 / $502.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $132.96 / $219.36