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Georgia rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,137.77 / $12,137.77 / $34,381.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,137.77 / $14,619.40 / $19,420.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,561.54 / $21,561.54 / $21,852.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,137.22 / $40,792.11 / $106,933.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,766.05 / $24,227.08 / $46,515.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,042.69 / $24,766.64 / $53,903.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,766.64 / $24,766.64 / $24,766.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $16,200.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $11,826.18 / $33,597.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,144.29 / $29,137.22 / $56,276.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,690.83 / $14,536.25 / $25,211.53