go back

Georgia rates for HCPCS L4130

Replace pretibial shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.26 / $312.26 / $741.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.66 / $329.80 / $502.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.53 / $920.54 / $2,413.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.90 / $546.73 / $1,049.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.84 / $558.90 / $1,216.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.90 / $558.90 / $558.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $373.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $365.55 / $669.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.72 / $657.53 / $1,045.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.88 / $276.36 / $309.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.69 / $328.04 / $541.20