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Georgia rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $354.81 / $588.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,479.11 / $2,290.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $512.86 / $831.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $758.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $630.96 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $457.09 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $602.56