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Mississippi rates for HCPCS L5628

Addition To Lower Extremity Test Socket Hemipelvectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.91 / $342.91 / $535.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.91 / $514.37 / $647.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.17 / $474.17 / $474.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.17 / $474.17 / $474.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.82 / $499.82 / $499.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.87 / $364.87 / $499.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.14 / $382.03 / $445.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.74 / $347.52 / $483.34