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Georgia rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $79.43 / $141.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $380.19 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $131.83 / $199.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $181.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $162.18 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $69.18 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $77.62 / $138.04