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Georgia rates for HCPCS L5642

Addition To Lower Extremity Above Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.77 / $309.77 / $877.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.77 / $439.88 / $625.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.63 / $1,041.08 / $2,729.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.45 / $618.30 / $1,187.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.09 / $696.93 / $1,375.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.09 / $632.09 / $632.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.41 / $530.41 / $530.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $387.20 / $1,013.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.16 / $743.63 / $1,033.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.48 / $370.99 / $726.20