go back

Georgia rates for HCPCS L5706

Custom Shaped Protective Cover Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.42 / $469.42 / $1,329.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.42 / $666.57 / $773.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.84 / $1,577.59 / $4,135.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.76 / $936.96 / $1,798.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.82 / $1,147.59 / $2,084.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.82 / $957.82 / $957.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.73 / $957.73 / $957.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.14 / $854.62 / $1,461.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.41 / $1,126.84 / $1,565.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.23 / $595.23 / $595.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.78 / $562.17 / $1,100.44