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Mississippi rates for HCPCS L5677

Additions to lower extremity, below knee (BK), knee joints, polycentric, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $338.84 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $478.63 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $288.40 / $457.09