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Mississippi rates for HCPCS L5220

Above Knee Short Prosthesis No Knee Joint (Stubbies) With Articulated Ankle/Foot Dynamically Aligned Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,855.26 / $1,855.26 / $2,898.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,855.26 / $2,898.85 / $3,438.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,565.44 / $2,565.44 / $2,565.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,565.44 / $2,565.44 / $2,565.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.86 / $2,482.86 / $2,482.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.49 / $1,812.49 / $2,482.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,182.50 / $2,182.50 / $2,545.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.07 / $1,651.61 / $2,545.08