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Georgia rates for HCPCS L1951

Ankle foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine-type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.14 / $1,200.48 / $5,692.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.10 / $610.28 / $899.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.85 / $752.85 / $752.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.36 / $1,424.30 / $3,733.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.55 / $845.92 / $1,624.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.48 / $864.76 / $1,882.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.76 / $864.76 / $864.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.11 / $710.11 / $710.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.38 / $518.38 / $1,207.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.19 / $1,017.36 / $1,413.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.51 / $1,764.11 / $1,919.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.37 / $507.55 / $837.36