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Mississippi rates for HCPCS L5672

Addition To Lower Extremity Below Knee Removable Medial Brim Suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.57 / $200.57 / $313.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.93 / $291.63 / $360.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.35 / $277.35 / $277.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.35 / $277.35 / $277.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $297.81 / $297.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $217.40 / $297.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.03 / $178.55 / $282.42