go back

Mississippi rates for HCPCS L5637

Addition To Lower Extremity Below Knee Total Contact

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.31 / $194.31 / $303.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.31 / $297.98 / $387.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.06 / $260.06 / $277.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.03 / $330.03 / $330.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.03 / $330.03 / $330.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.98 / $232.98 / $232.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $170.08 / $232.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.32 / $172.98 / $273.89