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Georgia rates for HCPCS L2397

Addition To Lower Extremity Orthosis Suspension Sleeve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.71 / $62.71 / $148.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.71 / $79.20 / $148.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.18 / $68.18 / $171.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.04 / $184.86 / $484.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.40 / $109.79 / $210.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.23 / $125.00 / $244.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.23 / $112.23 / $112.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $92.98 / $92.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $67.88 / $170.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.35 / $132.04 / $191.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.25 / $165.05 / $168.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.92 / $65.87 / $128.94