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Mississippi rates for HCPCS L5828

Addition Endoskeletal Knee-Shin System Single Axis Fluid Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,899.44 / $1,899.44 / $2,967.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.01 / $2,761.87 / $2,979.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,711.53 / $2,711.53 / $2,711.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,226.09 / $3,226.09 / $3,226.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,226.09 / $3,226.09 / $3,226.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $2,117.90 / $2,117.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $3,226.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.29 / $1,690.94 / $2,605.67