go back

Georgia rates for HCPCS L2188

Addition to lower extremity fracture orthosis, quadrilateral brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $213.80 / $398.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,096.48 / $1,698.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $371.54 / $575.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $389.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $457.09 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $165.96 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $213.80 / $389.05