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Georgia rates for HCPCS L5707

Custom Shaped Protective Cover Hip Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.85 / $618.85 / $1,752.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.85 / $878.77 / $1,100.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.57 / $2,079.80 / $5,452.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.01 / $1,235.23 / $2,371.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.73 / $1,541.84 / $2,748.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.73 / $1,262.73 / $1,262.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.20 / $1,232.20 / $1,232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.51 / $1,148.19 / $1,983.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.03 / $1,485.57 / $2,064.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.98 / $741.14 / $1,222.75