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Georgia rates for HCPCS L2126

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Thermoplastic Type Casting Material Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.97 / $727.97 / $1,729.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.97 / $809.24 / $1,021.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.92 / $2,146.09 / $5,625.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.98 / $1,274.58 / $2,447.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.81 / $1,307.70 / $2,835.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.98 / $1,302.98 / $1,302.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $842.96 / $842.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $842.96 / $1,783.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.02 / $1,532.92 / $2,129.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.84 / $762.31 / $1,261.69