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Georgia rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.55 / $13.55 / $32.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.84 / $15.18 / $21.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $21.40 / $21.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.53 / $39.94 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.03 / $23.72 / $45.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.52 / $24.25 / $52.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $24.25 / $24.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $15.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $33.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.68 / $28.53 / $45.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $14.23 / $23.48