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Georgia rates for HCPCS L6704

Terminal device, sport/recreational/work attachment, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.81 / $292.81 / $1,213.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.81 / $411.16 / $488.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.90 / $984.06 / $2,579.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.75 / $584.45 / $1,122.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.47 / $702.90 / $1,377.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.47 / $597.47 / $597.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.25 / $527.25 / $527.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.89 / $384.89 / $939.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.20 / $702.90 / $1,568.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.57 / $350.67 / $584.45