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Mississippi rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $977.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $741.31 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $467.74 / $741.31