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Georgia rates for HCPCS L5646

Addition To Lower Extremity Below Knee Air Flu Id Gel Or Equal Cushion Socket. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.95 / $273.95 / $775.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.95 / $389.00 / $457.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.64 / $486.64 / $486.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.62 / $920.67 / $2,413.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.60 / $546.79 / $1,049.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.98 / $657.62 / $1,288.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.98 / $558.98 / $558.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $410.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $410.92 / $864.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.79 / $657.62 / $913.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.72 / $328.08 / $541.27