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Georgia rates for HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.80 / $1,755.80 / $4,973.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.80 / $2,493.23 / $3,180.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,214.88 / $5,900.83 / $15,468.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,247.08 / $3,504.59 / $6,728.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,582.65 / $4,392.45 / $8,261.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,582.65 / $3,582.65 / $3,582.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,249.00 / $3,249.00 / $3,249.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.77 / $3,249.00 / $5,631.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,203.31 / $4,214.88 / $5,855.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,646.44 / $2,102.75 / $3,469.17