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Mississippi rates for HCPCS L5642

Addition To Lower Extremity Above Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.74 / $416.74 / $651.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.35 / $624.95 / $686.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.25 / $576.25 / $576.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.25 / $576.25 / $576.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.41 / $530.41 / $530.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $387.20 / $707.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.32 / $370.99 / $571.67