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Georgia rates for HCPCS L3003

Foot insert, removable, molded to patient model, silicone gel, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $107.15 / $186.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $512.86 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $169.82 / $263.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $245.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $213.80 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $91.20 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $102.33 / $181.97