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Mississippi rates for HCPCS L5639

Addition To Lower Extremity Below Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.13 / $754.13 / $1,178.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.90 / $1,096.53 / $1,178.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.81 / $1,042.81 / $1,042.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.81 / $1,042.81 / $1,042.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $870.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $635.47 / $870.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.56 / $671.35 / $1,061.90