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Georgia rates for HCPCS L6630

Upper extremity addition, stainless steel, any wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.76 / $107.76 / $305.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.76 / $155.16 / $192.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.68 / $362.15 / $949.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.90 / $215.08 / $412.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.88 / $293.17 / $507.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.88 / $219.88 / $219.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $161.63 / $161.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.99 / $161.63 / $345.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.60 / $258.68 / $470.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.43 / $180.27 / $198.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.03 / $129.05 / $212.91