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Georgia rates for HCPCS L4000

Replace Girdle For Spinal Orthotic (Cervic-Thoracic-Lumbar-Sacor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.94 / $697.94 / $1,657.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.94 / $862.74 / $1,143.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,469.68 / $2,057.55 / $5,393.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.53 / $1,222.01 / $2,346.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.23 / $1,353.31 / $2,718.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,249.23 / $1,249.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.58 / $897.58 / $897.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.23 / $655.23 / $1,919.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.96 / $1,469.68 / $2,609.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.27 / $957.27 / $957.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.80 / $733.21 / $1,209.66