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Georgia rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.61 / $51.61 / $51.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.75 / $58.94 / $82.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.03 / $82.15 / $112.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.40 / $129.40 / $174.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $69.84 / $98.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.06 / $121.24 / $260.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.46 / $98.46 / $112.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $60.07 / $106.15