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Georgia rates for HCPCS L2624

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $426.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,148.15 / $1,778.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $389.05 / $588.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $478.63 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $186.21 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $223.87 / $407.38