go back

Georgia rates for HCPCS L5985

All Endoskeletal Lower Extremity Protheses Dynamic Prosthetic Pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.78 / $142.78 / $404.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.78 / $171.97 / $228.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.73 / $479.82 / $1,257.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.72 / $284.98 / $547.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.83 / $291.32 / $634.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.32 / $291.32 / $291.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $220.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $215.78 / $395.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.47 / $342.73 / $476.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.99 / $170.99 / $282.10