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Georgia rates for HCPCS L5540

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.96 / $904.96 / $2,563.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.96 / $1,247.71 / $1,725.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.89 / $862.89 / $862.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,172.39 / $3,041.35 / $7,972.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.17 / $1,806.30 / $3,468.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.53 / $2,102.35 / $4,018.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.53 / $1,846.53 / $1,846.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $1,599.98 / $1,599.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,565.61 / $2,867.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,651.02 / $2,172.39 / $3,018.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.52 / $1,083.78 / $1,788.04