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Georgia rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.09 / $149.09 / $422.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.09 / $211.71 / $251.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.90 / $501.06 / $1,313.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.81 / $297.58 / $571.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.22 / $385.50 / $662.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.22 / $304.22 / $304.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $297.81 / $297.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $272.80 / $487.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.00 / $357.90 / $496.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.79 / $178.55 / $349.51