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Georgia rates for HCPCS L5782

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System Heavy Duty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.77 / $2,132.77 / $6,041.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,132.77 / $2,732.14 / $3,412.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,119.81 / $7,167.73 / $18,789.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,752.64 / $4,257.03 / $8,173.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,224.60 / $4,351.84 / $9,471.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,351.84 / $4,351.84 / $4,351.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.10 / $3,294.10 / $3,294.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.69 / $3,223.30 / $5,903.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,891.06 / $5,119.81 / $7,113.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.81 / $2,554.21 / $4,214.00