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Mississippi rates for HCPCS L5698

Addition to lower extremity, above knee (AK) or knee disarticulation, Silesian bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.29 / $88.29 / $137.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.19 / $117.05 / $137.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.10 / $122.10 / $122.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.10 / $122.10 / $122.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $99.25 / $99.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $124.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.78 / $82.54 / $96.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $78.61 / $107.13