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Georgia rates for HCPCS L5975

All Lower Extremity Prosthesis Combination Single Axis Ankle And Flexible Keel Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $664.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $300.27 / $375.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.73 / $787.82 / $2,065.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.99 / $467.89 / $898.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.30 / $478.32 / $1,041.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.32 / $478.32 / $478.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $362.03 / $362.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.27 / $354.26 / $648.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.67 / $562.73 / $781.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.30 / $280.73 / $463.15