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Georgia rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $69.18 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $100.00 / $194.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $331.13 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $112.20 / $173.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $158.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $138.04 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $85.11 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $67.61 / $128.82