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Mississippi rates for HCPCS L5822

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.41 / $1,145.41 / $1,789.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.20 / $1,665.47 / $1,789.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,583.86 / $1,583.86 / $1,583.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.86 / $1,583.86 / $1,583.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.82 / $1,367.82 / $1,367.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $998.51 / $1,367.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.48 / $1,347.44 / $1,571.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.78 / $1,019.68 / $1,612.86