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Georgia rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $89.13 / $147.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $389.05 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $131.83 / $218.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $186.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $162.18 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $112.20 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $79.43 / $154.88