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Georgia rates for HCPCS L5505

Initial Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.12 / $888.12 / $2,515.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.12 / $1,261.11 / $1,430.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,131.96 / $2,984.74 / $7,824.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.60 / $1,772.68 / $3,403.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,774.46 / $2,128.65 / $3,944.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.17 / $1,812.17 / $1,812.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $1,620.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.59 / $1,585.19 / $2,789.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.29 / $2,131.96 / $2,961.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.47 / $1,063.60 / $1,772.68