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Georgia rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.61 / $279.61 / $792.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.61 / $389.49 / $447.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.21 / $939.69 / $2,463.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.85 / $558.10 / $1,071.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.53 / $671.21 / $1,315.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.53 / $570.53 / $570.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $419.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $896.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.12 / $671.21 / $1,219.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.24 / $334.86 / $558.10