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Mississippi rates for HCPCS L5722

Addition Exoskeletal Knee-Shin System Single Axis Pneumatic Swing Friction Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.33 / $647.33 / $1,011.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.66 / $889.99 / $1,133.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.13 / $895.13 / $895.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.13 / $895.13 / $895.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.29 / $875.29 / $875.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $638.96 / $875.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.42 / $576.28 / $833.09