go back

Georgia rates for HCPCS L5984

All Endoskeletal Lower Extremity Prostheses Axial Rotation Unit With Or Without Adjustability (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.83 / $284.83 / $806.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.83 / $403.83 / $563.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.39 / $488.87 / $505.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.74 / $957.24 / $2,509.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.53 / $568.52 / $1,091.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.17 / $659.79 / $1,264.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.17 / $581.17 / $581.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $427.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $427.25 / $900.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.64 / $683.74 / $949.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.08 / $341.11 / $562.78