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Georgia rates for HCPCS L5654

Addition to lower extremity, socket insert, Symes, (Kemblo, Pelite, Aliplast, Plastazote or equal)

Facilitymedian $407 · 10th–90th $166$1,4790%20%10th90th$407Professionalmedian $240 · 10th–90th $166$4170%20%10th90th$240$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$229.09
Typical High
$389.05
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$954.99
Typical High
$1,479.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$537.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$549.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$407.38
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$302.00
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$389.05