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Mississippi rates for HCPCS L5677

Additions To Lower Extremity Below Knee Knee Joints Polycentric Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.64 / $331.64 / $518.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.25 / $518.19 / $642.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $458.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.59 / $458.59 / $458.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.78 / $400.78 / $400.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.57 / $292.57 / $400.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.82 / $295.24 / $454.95