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Mississippi rates for HCPCS L5855

Addition Endoskeletal System Hip Disarticulation Mechanical Hip Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.21 / $231.21 / $361.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.04 / $310.47 / $361.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.70 / $319.70 / $319.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.70 / $319.70 / $319.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.78 / $239.78 / $239.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $175.04 / $239.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.02 / $247.02 / $247.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.28 / $205.83 / $284.95