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Mississippi rates for HCPCS L5646

Addition To Lower Extremity Below Knee Air Flu Id Gel Or Equal Cushion Socket. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.54 / $368.54 / $575.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.91 / $575.84 / $695.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.61 / $509.61 / $509.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.61 / $509.61 / $509.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $410.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $299.97 / $410.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.72 / $328.08 / $505.56