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Georgia rates for HCPCS L3214

Benesch Boot Pair Junior (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.15 / $34.46 / $48.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.40 / $49.79 / $61.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.98 / $76.98 / $76.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $49.68 / $49.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $43.57 / $57.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.55 / $70.89 / $151.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.90 / $33.00 / $61.15