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Mississippi rates for HCPCS L5685

Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $81.28 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $117.49 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $123.03 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $74.13 / $107.15