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Georgia rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $177.83 / $302.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $870.96 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $302.00 / $446.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $371.54 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $239.88 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $354.81