go back

Georgia rates for HCPCS L3201

Orthopedic Shoe Oxford With Supinator Or Pronator Infant (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.04 / $21.04 / $21.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $24.03 / $33.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.13 / $41.47 / $44.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.85 / $58.85 / $63.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $30.06 / $40.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.98 / $49.43 / $105.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $40.14 / $45.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $23.01 / $41.59