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Georgia rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Facilitymedian $110 · 10th–90th $50$3980%10%20%10th90th$110Professionalmedian $63 · 10th–90th $49$1070%20%10th90th$63$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$56.23
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$257.04
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$138.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$128.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$50.12
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$52.48
Typical High
$104.71