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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
$281.84 / $281.84 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $338.84 / $575.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,659.59 / $2,570.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $562.34 / $851.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $691.83 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $457.09 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $338.84 / $602.56