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Mississippi rates for HCPCS L5673

Addition To Lower Extremity Below Knee/Above Kneecustom Fabricated From Existing Mold Or Prefabricated Socket Insert Silicone Gel Elastomeric Or Equal For Use With Locking Mechanism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.27 / $478.27 / $747.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.30 / $716.51 / $794.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.08 / $640.08 / $682.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.32 / $812.32 / $812.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.32 / $812.32 / $812.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.15 / $501.15 / $501.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.84 / $365.84 / $501.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.75 / $425.77 / $673.45