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Mississippi rates for HCPCS L5706

Custom Shaped Protective Cover Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.49 / $631.49 / $986.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.27 / $918.14 / $1,130.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.22 / $873.22 / $873.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.22 / $873.22 / $873.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.73 / $957.73 / $957.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.14 / $699.14 / $957.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.23 / $595.23 / $595.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.80 / $562.17 / $840.91