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Georgia rates for HCPCS L5617

Addition to lower extremity, quick change self-aligning unit, above knee (AK) or below knee (BK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.89 / $282.89 / $801.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $364.72 / $452.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.11 / $950.75 / $2,492.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.46 / $564.66 / $1,084.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.35 / $577.24 / $1,256.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.24 / $577.24 / $577.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $436.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $427.55 / $783.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.12 / $679.11 / $943.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.86 / $338.80 / $558.96