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Georgia rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.20 / $80.20 / $227.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.20 / $113.90 / $135.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.55 / $269.57 / $706.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.65 / $160.10 / $307.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.66 / $201.18 / $356.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.66 / $163.66 / $163.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $126.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $274.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.34 / $192.55 / $349.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.04 / $96.06 / $158.47