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Georgia rates for HCPCS L1990

Ankle-foot orthosis (AFO), double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'BK' orthosis), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $281.84 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $446.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,288.25 / $1,995.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $446.68 / $676.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $537.03 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $245.47 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $263.03 / $512.86