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Mississippi rates for HCPCS L5570

Preparatory, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.13 / $1,359.13 / $2,123.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.56 / $2,123.64 / $2,472.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,879.38 / $1,879.38 / $1,879.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.38 / $1,879.38 / $1,879.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.38 / $1,769.38 / $1,769.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.65 / $1,291.65 / $1,769.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.62 / $1,209.93 / $1,864.47