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Georgia rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $22.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $70.79 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.12 / $31.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $22.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $30.20 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $14.79 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.13 / $28.18