go back

Georgia rates for HCPCS L5966

Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.66 / $596.66 / $1,690.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.66 / $847.26 / $1,140.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,432.32 / $2,005.25 / $5,256.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.61 / $1,190.95 / $2,286.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.47 / $1,481.76 / $2,649.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.47 / $1,217.47 / $1,217.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $895.00 / $895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $895.00 / $1,914.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.56 / $1,432.32 / $1,990.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.48 / $714.57 / $1,178.91