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Georgia rates for HCPCS L3720

Elbow orthosis (EO), double upright with forearm/arm cuffs, free motion, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.71 / $378.71 / $899.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.52 / $427.88 / $581.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.45 / $1,116.43 / $2,926.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.00 / $663.07 / $1,273.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.85 / $677.83 / $1,475.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.83 / $677.83 / $677.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.57 / $450.57 / $450.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $450.57 / $868.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.05 / $797.45 / $1,108.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.20 / $1,016.75 / $1,504.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.23 / $397.84 / $656.37