go back

Mississippi rates for HCPCS L5614

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.81 / $1,147.81 / $1,793.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.45 / $1,668.76 / $1,793.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,587.17 / $1,587.17 / $1,587.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,587.17 / $1,587.17 / $1,587.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.79 / $1,317.79 / $1,317.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.99 / $961.99 / $1,317.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.26 / $1,021.81 / $1,399.02