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Mississippi rates for HCPCS L5642

Addition to lower extremity, above knee (AK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $416.87 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $588.84 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $363.08 / $575.44