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Mississippi rates for HCPCS L5850

Addition Endoskeletal System Above Knee Or Hip Disarticulation Knee Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.04 / $86.04 / $134.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.77 / $128.60 / $166.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.16 / $122.83 / $122.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.98 / $118.98 / $118.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.98 / $118.98 / $118.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.32 / $99.32 / $99.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $72.50 / $99.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.07 / $76.59 / $121.29