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Georgia rates for HCPCS L5701

Replacement Socket Above Knee/Knee Disarticulation Including Attachment Plate Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,720.40 / $1,720.40 / $4,873.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,720.40 / $2,317.41 / $3,460.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,056.12 / $3,056.12 / $5,988.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,129.89 / $5,781.85 / $15,156.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,201.77 / $3,433.93 / $6,593.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,510.41 / $3,904.75 / $7,640.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,510.41 / $3,510.41 / $3,510.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,550.04 / $2,550.04 / $2,550.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.53 / $2,550.04 / $5,325.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,138.72 / $4,129.89 / $5,738.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.57 / $2,060.36 / $3,399.22