go back

Mississippi rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.17 / $255.17 / $398.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.52 / $382.75 / $419.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.50 / $364.26 / $364.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.83 / $352.83 / $352.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.83 / $352.83 / $352.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $293.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $214.45 / $293.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.40 / $564.00 / $676.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.69 / $236.10 / $359.66