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Mississippi rates for HCPCS L5971

All lower extremity prostheses, solid ankle cushion heel (SACH) foot, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.60 / $136.60 / $213.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.22 / $213.44 / $222.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.90 / $188.90 / $188.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.90 / $188.90 / $188.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.21 / $159.21 / $159.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.22 / $116.22 / $159.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.06 / $121.61 / $187.40