go back

Georgia rates for HCPCS L5968

Addition To Lower Limb Prosthesis Multiaxial Ankle With Swing Phase Active Dorsiflexion Feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,837.38 / $1,837.38 / $5,204.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.38 / $2,353.73 / $2,939.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.96 / $3,263.92 / $3,263.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,410.70 / $6,174.98 / $16,187.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.39 / $3,667.42 / $7,041.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,639.50 / $3,749.10 / $8,159.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,749.10 / $3,749.10 / $3,749.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $2,448.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $2,448.80 / $5,085.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,352.13 / $4,410.70 / $6,127.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.97 / $2,200.44 / $3,630.35