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Mississippi rates for HCPCS L5858

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,641.59 / $12,641.59 / $19,752.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,866.67 / $18,379.64 / $19,752.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,704.00 / $18,704.00 / $18,704.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,704.00 / $18,704.00 / $18,704.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,513.81 / $14,513.81 / $14,513.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,595.08 / $10,595.08 / $14,513.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,666.14 / $11,253.89 / $15,408.48