go back

Mississippi rates for HCPCS L5656

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.59 / $253.59 / $396.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.50 / $371.76 / $434.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.66 / $350.66 / $350.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.66 / $350.66 / $350.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.84 / $335.84 / $335.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $245.16 / $430.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.08 / $225.76 / $357.10