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Georgia rates for HCPCS L5614

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.21 / $853.21 / $2,416.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.21 / $1,092.98 / $1,365.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,048.17 / $2,867.44 / $7,516.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.94 / $1,703.01 / $3,269.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.05 / $1,740.94 / $3,789.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.94 / $1,740.94 / $1,740.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.79 / $1,317.79 / $1,317.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.99 / $1,289.49 / $2,361.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.61 / $2,048.17 / $2,845.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.94 / $1,021.81 / $1,685.80