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Georgia rates for HCPCS L5613

Addition To Lower Extremity Endoskeletal System Above Knee- Knee Disarticulation 4 Bar Linkage With Hydraulic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,259.48 / $1,259.48 / $3,567.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.48 / $1,788.46 / $2,015.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,023.44 / $4,232.82 / $11,096.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.88 / $2,513.92 / $4,826.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.21 / $2,569.92 / $5,593.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,569.92 / $2,569.92 / $2,569.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.78 / $1,902.78 / $1,902.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.03 / $1,861.89 / $3,409.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,297.81 / $3,023.44 / $4,201.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.57 / $1,508.36 / $2,488.51