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Mississippi rates for HCPCS L5696

Addition To Lower Extremity Above Knee Or Knee Disarticulation Pelvic Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.45 / $124.45 / $194.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.82 / $194.45 / $217.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.09 / $172.09 / $172.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.09 / $172.09 / $172.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.76 / $138.76 / $138.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.29 / $101.29 / $138.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.68 / $296.08 / $355.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.86 / $119.44 / $175.42