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Georgia rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.68 / $189.68 / $537.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.68 / $240.97 / $305.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.85 / $325.54 / $341.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.33 / $637.46 / $1,671.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.74 / $378.59 / $726.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.55 / $406.03 / $842.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.03 / $387.03 / $387.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $293.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $293.77 / $553.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.05 / $455.33 / $632.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.24 / $227.15 / $393.97