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Georgia rates for HCPCS L3250

Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.81 / $130.81 / $130.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.02 / $149.40 / $208.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.38 / $183.74 / $250.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.95 / $265.95 / $265.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.68 / $210.68 / $210.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.80 / $188.88 / $295.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.14 / $307.31 / $656.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.56 / $249.56 / $283.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.01 / $151.78 / $268.42