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Georgia rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.90 / $54.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $147.91 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $51.29 / $77.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $70.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $63.10 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $26.92 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $30.20 / $53.70