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Georgia rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.07 / $24.07 / $68.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.07 / $34.17 / $48.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.77 / $80.88 / $212.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.80 / $48.03 / $92.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.10 / $57.77 / $113.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.10 / $49.10 / $49.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $37.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $36.57 / $67.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.91 / $57.77 / $80.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $28.82 / $47.54