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Georgia rates for HCPCS L3209

Surgical Boot Each Child (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.88 / $15.88 / $15.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $18.14 / $25.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $39.11 / $39.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.88 / $30.88 / $32.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $22.93 / $30.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.87 / $37.31 / $78.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.30 / $30.30 / $34.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.52 / $17.97 / $31.55