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Georgia rates for HCPCS L3980

Upper Extremity Fracture Orthosis Humeral Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.85 / $402.16 / $568.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.85 / $210.12 / $402.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.98 / $450.00 / $507.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.81 / $477.13 / $1,250.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.69 / $283.38 / $544.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.69 / $360.58 / $630.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.69 / $289.69 / $289.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $229.50 / $243.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $229.50 / $455.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.02 / $340.81 / $473.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.93 / $434.54 / $738.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.35 / $170.03 / $280.52