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Georgia rates for HCPCS L5698

Addition To Lower Extremity Above Knee Or Knee Disarticulation Silesian Bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.64 / $65.64 / $185.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.64 / $75.19 / $105.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.55 / $220.57 / $578.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.13 / $131.01 / $251.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.20 / $133.91 / $291.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.91 / $133.91 / $133.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $99.25 / $99.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $167.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.74 / $157.55 / $218.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.13 / $87.25 / $96.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.40 / $78.61 / $131.01