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Mississippi rates for HCPCS L5685

Addition To Lower Extremity Prosthesis Below Kneesuspension/Sealing Sleeve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.12 / $87.12 / $136.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.78 / $126.65 / $136.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.60 / $116.60 / $124.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.97 / $147.97 / $147.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.97 / $147.97 / $147.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.03 / $100.03 / $100.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.02 / $73.02 / $100.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.94 / $80.61 / $122.80