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Mississippi rates for HCPCS L5859

Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,869.19 / $9,869.19 / $15,420.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,552.65 / $14,348.82 / $15,420.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,031.79 / $14,031.79 / $14,031.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,031.79 / $14,031.79 / $14,031.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $9,812.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $8,340.66 / $9,812.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,222.91 / $8,870.54 / $13,646.99