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Georgia rates for HCPCS L5940

Addition Endoskeletal System Below Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.80 / $250.80 / $710.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.80 / $343.82 / $486.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.14 / $430.45 / $782.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.04 / $842.87 / $2,209.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.97 / $500.60 / $961.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.74 / $602.04 / $1,180.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.74 / $511.74 / $511.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $382.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $381.09 / $697.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.56 / $602.04 / $836.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.18 / $300.36 / $495.54