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Mississippi rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $354.81 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $457.09 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $281.84 / $436.52