go back

Georgia rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.88 / $9.88 / $23.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $11.08 / $15.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.82 / $29.15 / $76.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $17.30 / $33.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $17.70 / $38.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.70 / $17.70 / $17.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.10 / $24.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.82 / $20.82 / $33.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $27.40 / $39.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.24 / $9.11 / $10.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $10.39 / $17.14