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Georgia rates for HCPCS L3660

Shoulder orthosis (SO), figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $69.18 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $67.61 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $85.11 / $165.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $275.42 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $93.33 / $154.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $158.49 / $181.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $141.25 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $91.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $114.82 / $158.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $151.36 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $54.95 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $56.23 / $109.65