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Mississippi rates for HCPCS L5695

Addition To Lower Extremity Above Knee Pelvic Control Sleeve Suspension Neoprene Or Equal Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.64 / $112.64 / $176.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.74 / $163.94 / $212.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.77 / $155.77 / $155.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.77 / $155.77 / $155.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.31 / $122.31 / $122.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.29 / $89.29 / $122.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.09 / $100.28 / $150.47