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Georgia rates for HCPCS L2128

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.40 / $917.40 / $2,179.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.40 / $1,158.82 / $1,738.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,931.80 / $2,704.52 / $7,089.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.90 / $1,606.26 / $3,084.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.03 / $1,782.55 / $3,573.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.03 / $1,642.03 / $1,642.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,207.09 / $1,207.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $1,207.09 / $2,239.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.17 / $1,931.80 / $2,916.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.64 / $963.76 / $1,590.02