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Georgia rates for HCPCS L6925

Wrist Disarticulation External Power Self-Suspended Inner Socket Removable Forearm Shell Otto Bock Or Equal Electrodes Cables Two Batteries And One Charger Myoelectronic Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,491.89 / $4,491.89 / $12,723.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,491.89 / $5,450.11 / $7,187.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,782.97 / $15,096.16 / $39,573.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.53 / $8,965.84 / $17,214.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,621.20 / $9,183.21 / $19,948.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,165.52 / $9,165.52 / $9,165.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $7,261.93 / $7,261.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,301.21 / $5,301.21 / $12,525.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,195.06 / $10,782.97 / $17,252.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,586.34 / $5,379.50 / $10,530.24