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Mississippi rates for HCPCS L2628

Addition To Lower Extremity Pelvic Control Metal Frame Reciprocating Hip Joint And Cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.82 / $1,273.82 / $2,030.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.09 / $1,311.47 / $2,030.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,761.42 / $1,761.42 / $1,761.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.42 / $1,761.42 / $1,761.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.41 / $1,179.41 / $1,179.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $860.97 / $1,179.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.76 / $1,057.45 / $1,692.72