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Georgia rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.45 / $46.45 / $46.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.97 / $53.05 / $74.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.63 / $70.91 / $101.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.64 / $117.64 / $136.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $47.13 / $104.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.96 / $109.11 / $233.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.61 / $88.61 / $100.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.78 / $58.65 / $90.00