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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
$223.87 / $223.87 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $229.09 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $316.23 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $194.98 / $309.03