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Georgia rates for HCPCS L5961

Addition Endoskeletal System Polycentric Hip Joint Pneumatic Or Hydraulic Control With Or Without Flexion And/Or Extension Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,298.42 / $2,298.42 / $6,510.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,298.42 / $3,084.95 / $3,784.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,517.45 / $7,724.43 / $20,249.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,569.66 / $4,888.96 / $9,020.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,641.39 / $4,898.01 / $10,207.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,689.83 / $4,689.83 / $4,689.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $3,728.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $3,647.50 / $6,680.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,193.26 / $5,517.45 / $11,518.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.41 / $2,752.59 / $4,763.58