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Georgia rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.90 / $12.90 / $12.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.94 / $14.74 / $20.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $54.93 / $54.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.96 / $109.96 / $159.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $28.09 / $28.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $20.51 / $29.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.77 / $30.31 / $122.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $24.62 / $28.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $14.30 / $25.78