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Georgia rates for HCPCS L3620

Transfer Of An Orthosis From One Shoe To Another Solid Stirrup Existing (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.91 / $43.91 / $104.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.60 / $49.33 / $68.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.42 / $68.42 / $68.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.46 / $129.44 / $339.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.09 / $76.88 / $147.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.29 / $78.59 / $171.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.59 / $78.59 / $78.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.32 / $51.32 / $51.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $51.32 / $106.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.27 / $92.46 / $128.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $46.13 / $76.08