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Georgia rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.00 / $101.00 / $239.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.70 / $131.13 / $191.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.68 / $297.75 / $780.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.39 / $176.84 / $339.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.78 / $241.04 / $393.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.78 / $180.78 / $180.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $150.11 / $150.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $150.11 / $284.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $212.68 / $320.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.95 / $279.85 / $401.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $106.10 / $175.05