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Mississippi rates for HCPCS L5648

Addition To Lower Extremity Above Knee Air Fluid Gel Or Equal Cushion Socket. (Rvsdf 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.84 / $442.84 / $691.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.99 / $691.93 / $758.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.35 / $612.35 / $612.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.35 / $612.35 / $612.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.44 / $589.44 / $589.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $430.29 / $589.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.82 / $394.23 / $607.49