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Georgia rates for HCPCS L2628

Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.44 / $1,079.44 / $2,564.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.79 / $1,125.02 / $1,698.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,273.02 / $3,182.23 / $8,341.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.16 / $1,889.98 / $3,628.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,604.36 / $1,932.07 / $4,205.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,932.07 / $1,932.07 / $1,932.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.41 / $1,179.41 / $1,179.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $1,179.40 / $2,188.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,727.50 / $2,273.02 / $3,158.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,810.20 / $2,841.28 / $2,898.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.99 / $1,120.08 / $1,870.88