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Georgia rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.78 / $715.78 / $2,027.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.09 / $835.12 / $1,145.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.25 / $2,405.55 / $6,305.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.30 / $1,428.69 / $2,743.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.39 / $1,460.51 / $3,178.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.51 / $1,460.51 / $1,460.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.11 / $908.11 / $908.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.92 / $662.92 / $1,721.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.86 / $1,718.25 / $2,387.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.48 / $857.21 / $1,414.26