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Mississippi rates for HCPCS L5930

Addition Endoskeletal System High Activity Knee Control Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,289.46 / $2,289.46 / $3,577.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,149.12 / $3,328.67 / $3,577.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,165.84 / $3,165.84 / $3,165.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,165.84 / $3,165.84 / $3,165.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $2,282.71 / $2,282.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $3,636.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.23 / $1,982.23 / $1,982.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.02 / $2,038.15 / $2,808.47