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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
$3,630.78 / $3,630.78 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,265.80 / $7,413.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $11,481.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $21,379.62 / $32,359.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $7,244.36 / $10,964.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $10,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $8,912.51 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $5,888.44 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,365.16 / $7,585.78