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Mississippi rates for HCPCS L5795

Addition Exoskeletal System Hip Disarticulation Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.92 / $962.92 / $1,504.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.99 / $1,079.40 / $1,504.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,331.51 / $1,331.51 / $1,331.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.51 / $1,331.51 / $1,331.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.11 / $908.11 / $908.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.92 / $662.92 / $1,282.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.51 / $1,718.25 / $2,061.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.61 / $857.21 / $1,168.30