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Georgia rates for HCPCS L4080

Replace Metal Bands Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.19 / $57.19 / $135.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.18 / $72.23 / $91.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.42 / $168.59 / $441.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.20 / $100.13 / $192.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.75 / $110.55 / $222.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.36 / $102.36 / $102.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $84.33 / $84.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $75.76 / $138.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.52 / $120.42 / $206.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $60.08 / $100.13