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Mississippi rates for HCPCS L5695

Addition to lower extremity, above knee (AK), pelvic control, sleeve suspension, neoprene or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $112.20 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $162.18 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $97.72 / $151.36