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Georgia rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.22 / $173.22 / $490.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.22 / $248.10 / $309.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.83 / $582.16 / $1,526.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.71 / $345.75 / $663.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.46 / $445.20 / $769.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.46 / $353.46 / $353.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $274.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $268.63 / $492.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.02 / $415.83 / $752.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.84 / $207.45 / $342.27