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Mississippi rates for HCPCS L5210

Above knee (AK), short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,632.17 / $1,632.17 / $2,550.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.17 / $2,550.27 / $2,918.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,256.94 / $2,256.94 / $2,256.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,256.94 / $2,256.94 / $2,256.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.89 / $1,819.89 / $1,819.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.52 / $1,328.52 / $1,819.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.27 / $1,776.27 / $1,776.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.67 / $1,453.01 / $2,298.27