go back

Mississippi rates for HCPCS L5650

Additions to lower extremity, total contact, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $309.03 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $446.68 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $467.74 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $288.40 / $446.68