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Mississippi rates for HCPCS L5830

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.33 / $1,276.33 / $1,994.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.08 / $1,994.26 / $2,036.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.89 / $1,764.89 / $1,764.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.89 / $1,764.89 / $1,764.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $1,654.54 / $1,654.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,207.81 / $1,654.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.48 / $1,136.22 / $1,750.88