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Georgia rates for HCPCS L3252

Foot Shoe Molded To Patient Model Plastazote (Or Similar) Custom Fabricated Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.66 / $71.66 / $71.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.87 / $81.84 / $114.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.88 / $157.91 / $164.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.27 / $97.27 / $241.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $56.50 / $136.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.68 / $168.34 / $487.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.71 / $136.71 / $155.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.01 / $78.37 / $142.38