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Mississippi rates for HCPCS L5857

Addition To Lower Proximity Prosthesis Endoskeletal Knee-Shin System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,794.02 / $5,794.02 / $9,053.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,438.85 / $8,423.96 / $9,053.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,011.89 / $8,011.89 / $8,011.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,011.89 / $8,011.89 / $8,011.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,652.12 / $6,652.12 / $6,652.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,856.05 / $4,856.05 / $6,652.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,067.77 / $5,157.99 / $7,091.00