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Mississippi rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $89.13 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
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
$104.71 / $128.82 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $77.62 / $123.03