go back

Georgia rates for HCPCS L6884

Replacement Socket Above Elbow/Elbow Disarticulation Molded To Patient Model For Use With Or Without External Power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.60 / $1,177.60 / $3,335.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.60 / $1,655.22 / $2,184.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,826.90 / $3,957.66 / $10,374.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.41 / $2,350.51 / $4,512.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.63 / $2,788.98 / $5,229.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,402.87 / $2,402.87 / $2,402.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $1,667.14 / $3,580.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,148.44 / $2,826.90 / $5,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.70 / $1,410.31 / $2,350.51