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Mississippi rates for HCPCS L5595

Preparatory Hip Disarticulation-Hemipelvectomy Pylon No Cover Sach Foot Thermoplastic Or Equal Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,856.55 / $2,856.55 / $4,463.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,686.16 / $3,937.99 / $4,632.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,950.00 / $3,950.00 / $3,950.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,950.00 / $3,950.00 / $3,950.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,578.08 / $3,578.08 / $3,578.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.00 / $2,612.00 / $4,810.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.34 / $2,542.96 / $3,715.30