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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
$45.37 / $45.37 / $107.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.37 / $55.55 / $85.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.54 / $133.76 / $350.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $79.44 / $152.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.20 / $86.28 / $176.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.20 / $81.20 / $81.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $61.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $60.47 / $110.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.61 / $95.54 / $173.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.31 / $47.66 / $95.54