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Georgia rates for HCPCS L6890

Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.04 / $85.04 / $8,939.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.04 / $120.76 / $144.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.15 / $285.81 / $749.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.83 / $169.74 / $325.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.53 / $204.94 / $400.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.53 / $173.53 / $173.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.15 / $170.15 / $170.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $152.62 / $272.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.15 / $204.15 / $371.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.73 / $101.84 / $168.03