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Mississippi rates for HCPCS L5649

Addition To Lower Extremity Ischial Containment/Narrow M-L Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,604.66 / $1,604.66 / $2,507.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.81 / $2,376.31 / $2,507.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.54 / $2,147.54 / $2,147.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.89 / $2,218.89 / $2,218.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,218.89 / $2,218.89 / $2,218.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $1,800.00 / $1,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,314.00 / $1,800.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.04 / $1,428.51 / $2,259.51