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Georgia rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.91 / $17.91 / $42.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.91 / $22.62 / $27.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $19.47 / $19.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.70 / $52.78 / $138.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.11 / $31.36 / $60.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.04 / $38.27 / $69.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.04 / $32.04 / $32.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $29.97 / $29.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $52.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.65 / $37.70 / $52.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.09 / $65.36 / $71.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.54 / $18.82 / $31.05