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Georgia rates for HCPCS L5978

All lower extremity prostheses, foot, multiaxial ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.91 / $145.91 / $413.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.91 / $210.11 / $275.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.26 / $490.36 / $1,285.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.74 / $291.24 / $559.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.72 / $350.26 / $686.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.72 / $297.72 / $297.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.19 / $243.19 / $243.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $237.96 / $435.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.20 / $350.26 / $486.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.13 / $174.74 / $375.92