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Mississippi rates for HCPCS L5781

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,721.59 / $2,721.59 / $4,252.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,554.76 / $3,956.95 / $4,252.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,642.34 / $3,642.34 / $3,642.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,622.45 / $4,622.45 / $4,622.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,622.45 / $4,622.45 / $4,622.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,886.72 / $2,886.72 / $2,886.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,107.31 / $2,107.31 / $2,886.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,890.35 / $5,753.36 / $6,904.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.14 / $2,422.83 / $3,317.27