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Mississippi rates for HCPCS L5964

Addition Endoskeletal System Above Knee Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.92 / $629.92 / $984.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.77 / $915.94 / $1,133.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.06 / $871.06 / $871.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.06 / $871.06 / $871.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $702.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $512.74 / $702.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.85 / $582.87 / $887.90