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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
$256.01 / $256.01 / $725.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.01 / $368.65 / $409.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.54 / $860.37 / $2,255.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.63 / $510.99 / $981.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.37 / $614.54 / $1,204.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.37 / $522.37 / $522.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $452.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $442.46 / $810.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.06 / $614.54 / $854.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.06 / $306.58 / $510.99