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Mississippi rates for HCPCS L5250

Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,467.37 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $5,011.87 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,019.95 / $4,786.30