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Georgia rates for HCPCS L3570

Orthopedic shoe addition, special extension to instep (leather with eyelets)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.03 / $49.03 / $116.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.45 / $55.10 / $71.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.26 / $144.56 / $378.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.96 / $85.85 / $164.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.21 / $87.77 / $191.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.77 / $87.77 / $87.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $69.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $65.01 / $118.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.46 / $103.26 / $143.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.34 / $51.51 / $84.99