go back

Georgia rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $50.12 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $229.09 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $79.43 / $128.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $109.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $97.72 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $46.77 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $47.86 / $93.33