go back

Georgia rates for HCPCS L2040

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.71 / $97.71 / $232.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.83 / $123.42 / $173.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.74 / $288.04 / $755.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.69 / $171.08 / $328.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.88 / $211.62 / $380.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.88 / $174.88 / $174.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.94 / $142.94 / $142.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.35 / $142.94 / $272.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.36 / $205.74 / $302.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.43 / $102.65 / $169.34