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Georgia rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,637.28 / $3,637.28 / $10,303.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,637.28 / $4,380.96 / $5,819.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,461.27 / $6,461.27 / $12,466.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,731.44 / $12,224.02 / $32,044.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,659.49 / $7,260.04 / $13,939.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,204.76 / $7,421.72 / $16,153.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,421.72 / $7,421.72 / $7,421.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $6,042.00 / $6,042.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $5,497.14 / $10,068.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,635.89 / $8,731.44 / $12,130.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,030.47 / $4,356.02 / $7,186.67