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Mississippi rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,328.69 / $16,328.69 / $25,513.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,327.77 / $23,740.31 / $25,513.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,733.26 / $27,733.26 / $27,733.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,733.26 / $27,733.26 / $27,733.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $16,200.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $11,826.18 / $16,200.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,383.10 / $34,568.35 / $41,482.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,622.87 / $14,536.25 / $19,931.41