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Mississippi rates for HCPCS L5707

Custom Shaped Protective Cover Hip Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.52 / $832.52 / $1,300.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.67 / $1,210.46 / $1,519.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.21 / $1,151.21 / $1,151.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.21 / $1,151.21 / $1,151.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.20 / $1,232.20 / $1,232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.51 / $899.51 / $1,232.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.82 / $799.01 / $1,173.47