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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
$338.84 / $338.84 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $380.19 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $489.78 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $295.12 / $446.68