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Mississippi rates for HCPCS L5697

Addition To Lower Extremity Above Knee Or Knee Disarticulation Pelvic Band

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.00 / $54.00 / $84.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.56 / $78.51 / $94.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.67 / $74.67 / $74.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.67 / $74.67 / $74.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.21 / $60.21 / $60.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.95 / $43.95 / $60.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.04 / $48.07 / $76.03