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Georgia rates for HCPCS L6615

Upper Extremity Addition Disconnect Locking Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.82 / $95.82 / $427.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.82 / $130.47 / $166.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $322.01 / $844.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.63 / $191.26 / $367.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.51 / $219.84 / $425.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.51 / $195.51 / $195.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.58 / $175.58 / $175.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $163.71 / $278.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.81 / $230.01 / $378.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.45 / $114.76 / $189.55