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Mississippi rates for HCPCS L5654

Addition To Lower Extremity Socket Insert Symes (Kemblo Pelite Aliplast Plastazote Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.07 / $223.07 / $348.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.07 / $348.55 / $396.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.45 / $308.45 / $308.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.45 / $308.45 / $308.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.16 / $306.16 / $306.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.50 / $223.50 / $306.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.38 / $198.59 / $314.10