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Georgia rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.02 / $2,401.89 / $6,080.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.02 / $343.22 / $458.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.61 / $445.69 / $445.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.28 / $843.19 / $2,210.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.10 / $500.79 / $961.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.58 / $511.94 / $1,114.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.94 / $511.94 / $511.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $372.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $371.40 / $680.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.73 / $602.28 / $841.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.88 / $1,044.35 / $1,136.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.32 / $300.47 / $588.16