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Mississippi rates for HCPCS L5643

Addition to lower extremity, hip disarticulation, flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.90 / $1,046.90 / $1,635.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.90 / $1,635.78 / $2,025.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.64 / $1,447.64 / $1,447.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.64 / $1,447.64 / $1,447.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.30 / $1,167.30 / $1,167.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.13 / $852.13 / $1,167.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.32 / $931.98 / $1,436.15