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Georgia rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.80 / $1,877.80 / $9,237.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.80 / $2,371.30 / $3,004.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,507.74 / $6,310.84 / $16,543.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,423.56 / $3,748.10 / $7,196.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.53 / $3,831.58 / $8,339.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,831.58 / $3,831.58 / $3,831.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $2,502.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,502.67 / $5,197.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,425.88 / $4,507.74 / $6,262.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.52 / $2,248.86 / $3,748.10