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Georgia rates for HCPCS L3520

Orthopedic Shoe Addition Insole Felt Covered With Leather (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $18.29 / $43.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $20.54 / $29.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.51 / $53.91 / $141.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.49 / $32.03 / $61.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.76 / $32.72 / $71.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.72 / $32.72 / $32.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $21.38 / $44.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $38.51 / $61.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.81 / $19.22 / $31.71