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Mississippi rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $72.44 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $120.23 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $89.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $109.65 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $64.57 / $93.33