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Georgia rates for HCPCS L5622

Addition To Lower Extremity Test Socket Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.26 / $181.26 / $513.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.26 / $261.01 / $326.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.12 / $609.16 / $1,596.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.97 / $361.79 / $694.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.85 / $433.16 / $804.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.85 / $369.85 / $369.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.54 / $274.54 / $274.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $581.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.69 / $435.12 / $604.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.97 / $217.07 / $358.13