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Georgia rates for HCPCS L8417

Prosthetic Sheath/Sock Including A Gel Cushion Layer Below Knee Or Above Knee Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $107.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $45.80 / $60.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.13 / $67.54 / $132.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.27 / $127.78 / $334.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $75.89 / $145.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.27 / $77.58 / $168.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.58 / $77.58 / $77.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $50.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $50.66 / $105.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $91.27 / $126.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.36 / $45.53 / $89.13