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Georgia rates for HCPCS L5722

Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.19 / $481.19 / $1,363.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.19 / $682.58 / $827.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.11 / $1,617.17 / $4,239.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.84 / $960.46 / $1,844.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.84 / $1,150.13 / $2,136.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.85 / $981.85 / $981.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.29 / $875.29 / $875.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $856.49 / $1,448.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.89 / $1,155.11 / $1,604.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.31 / $576.28 / $950.76