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Mississippi rates for HCPCS L5617

Addition to lower extremity, quick change self-aligning unit, above knee (AK) or below knee (BK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.58 / $380.58 / $594.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.25 / $553.30 / $594.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.26 / $526.26 / $526.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.26 / $526.26 / $526.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $436.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $318.98 / $436.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.97 / $338.80 / $466.85