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Georgia rates for HCPCS L3670

Shoulder Orthosis Acromio/Clavicular (Canvas And Webbing Type) Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.97 / $167.83 / $506.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $89.98 / $213.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.55 / $116.86 / $249.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.91 / $221.09 / $579.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.19 / $131.31 / $252.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.96 / $189.50 / $252.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.22 / $155.83 / $221.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $86.64 / $91.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $78.91 / $130.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.02 / $157.91 / $219.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.70 / $197.40 / $296.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.52 / $74.97 / $130.00