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Mississippi rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $346.74 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $478.63 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $288.40 / $446.68