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Georgia rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $338.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $891.25 / $1,380.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $302.00 / $501.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $467.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $371.54 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $257.04 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $181.97 / $354.81