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Georgia rates for HCPCS L5671

Addition to lower extremity, below knee (BK)/above knee (AK) suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.51 / $287.51 / $2,883.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.51 / $340.95 / $517.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.13 / $510.73 / $517.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.18 / $966.25 / $2,532.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.12 / $573.86 / $1,101.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.47 / $586.65 / $1,276.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.65 / $586.65 / $586.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $380.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $377.90 / $692.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.54 / $690.18 / $959.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.21 / $344.32 / $568.04