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Georgia rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Facilitymedian $49 · 10th–90th $19–$1780%10%20%10th90th$49Professionalmedian $28 · 10th–90th $20–$490%20%10th90th$28$0.1$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $44.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $114.82 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $39.81 / $64.57
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $64.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $48.98 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $35.48 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $23.99 / $46.77