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Georgia rates for HCPCS L6638

Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.41 / $1,264.41 / $3,581.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.41 / $1,619.76 / $2,023.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,035.27 / $4,249.38 / $11,139.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.19 / $2,523.77 / $4,845.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,504.58 / $2,579.98 / $5,615.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,579.98 / $2,579.98 / $2,579.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.91 / $1,952.91 / $1,952.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,910.94 / $3,499.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,306.81 / $3,035.27 / $4,899.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.68 / $1,514.26 / $2,626.32