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Georgia rates for HCPCS L1950

Ankle Foot Orthosis Spiral (Institute Of Rehabilitative Medicine Type) Plastic Custom-Fabricated. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.50 / $398.50 / $946.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.50 / $517.35 / $946.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.96 / $620.96 / $620.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.14 / $1,174.80 / $3,079.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.37 / $697.73 / $1,339.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.27 / $787.62 / $1,552.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.27 / $713.27 / $713.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $524.34 / $524.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $524.34 / $1,074.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.75 / $839.14 / $1,266.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.54 / $1,455.06 / $1,583.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.08 / $418.64 / $690.68