go back

Mississippi rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.17 / $2,526.17 / $3,947.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.31 / $3,672.79 / $3,947.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,738.00 / $3,738.00 / $3,738.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,738.00 / $3,738.00 / $3,738.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $2,502.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $1,826.95 / $2,502.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.09 / $2,248.86 / $3,079.07