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Mississippi rates for HCPCS L5505

Initial, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.76 / $1,194.76 / $1,866.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.76 / $1,838.35 / $2,268.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.09 / $1,652.09 / $1,652.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.09 / $1,652.09 / $1,652.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $1,620.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.59 / $1,182.59 / $1,620.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,365.94 / $2,783.46 / $3,340.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.32 / $1,063.60 / $1,604.89