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Georgia rates for HCPCS L4100

Replace Leather Cuff Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.09 / $57.09 / $135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.09 / $69.88 / $105.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $168.32 / $441.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.09 / $99.96 / $191.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.20 / $114.54 / $222.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.20 / $102.20 / $102.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $73.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $73.42 / $141.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.37 / $120.23 / $213.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $59.98 / $98.95