go back

Mississippi rates for HCPCS L5920

Addition, endoskeletal system, above knee (AK) or hip disarticulation, alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $354.81 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $467.74 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $512.86 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $489.78