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Georgia rates for HCPCS L4210

Repair Of Orthotic Device Repair Or Replace Minor Parts (Special Coverage Instructions Apply. See Mcm: 2133 2100.4 2130d)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.43 / $55.80 / $55.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.23 / $21.23 / $36.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $117.89 / $117.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $95.00 / $95.00