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Mississippi rates for HCPCS L5613

Addition To Lower Extremity Endoskeletal System Above Knee- Knee Disarticulation 4 Bar Linkage With Hydraulic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.36 / $1,694.36 / $2,647.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.48 / $2,427.15 / $2,647.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,342.92 / $2,342.92 / $2,342.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,342.92 / $2,342.92 / $2,342.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.78 / $1,902.78 / $1,902.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.03 / $1,389.03 / $1,902.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.30 / $1,508.36 / $2,385.81