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Mississippi rates for HCPCS L5705

Custom Shaped Protective Cover Above Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.22 / $644.22 / $1,006.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.87 / $936.61 / $1,159.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.17 / $862.17 / $862.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.80 / $890.80 / $890.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.80 / $890.80 / $890.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.43 / $895.43 / $895.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.66 / $653.66 / $895.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.82 / $573.50 / $857.13