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Mississippi rates for HCPCS L5629

Addition To Lower Extremity Below Knee Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.75 / $213.75 / $333.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.66 / $319.48 / $414.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.07 / $286.07 / $668.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.05 / $363.05 / $363.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.05 / $363.05 / $363.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.05 / $248.05 / $248.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $181.08 / $248.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.86 / $190.30 / $293.23