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Georgia rates for HCPCS L3956

Addition of joint to upper extremity orthosis, any material; per joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $17.66 / $17.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $17.66 / $42.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $76.00 / $76.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.44 / $215.44 / $215.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $139.44 / $152.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $145.00 / $145.00