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Georgia rates for HCPCS L3919

Hand orthosis (HO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.80 / $141.80 / $352.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.56 / $179.12 / $293.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.00 / $305.00 / $305.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.61 / $418.05 / $1,095.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.36 / $248.28 / $476.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.38 / $253.82 / $552.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.82 / $253.82 / $253.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $176.58 / $176.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $188.24 / $264.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.94 / $298.61 / $414.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.64 / $517.79 / $563.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.31 / $148.97 / $248.28