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Georgia rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,655.15 / $1,655.15 / $4,688.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.15 / $2,083.09 / $2,648.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,973.24 / $5,562.54 / $14,581.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,092.92 / $3,303.68 / $6,343.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.99 / $3,284.29 / $6,158.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.90 / $3,208.39 / $3,377.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $3,214.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $2,732.53 / $4,698.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.66 / $3,973.24 / $6,572.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.47 / $1,982.21 / $3,270.29