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Georgia rates for HCPCS L3003

Foot Insert Removable Molded To Patient Model Silicone Gel Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.23 / $100.23 / $238.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.96 / $112.64 / $158.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.07 / $295.50 / $774.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.93 / $175.50 / $336.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.20 / $179.41 / $390.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.41 / $179.41 / $179.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.11 / $149.11 / $149.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $132.87 / $243.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.41 / $211.07 / $293.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.82 / $365.99 / $398.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.20 / $105.30 / $173.72