go back

Mississippi rates for HCPCS L5987

All Lower Extremity Prosthesis Shank Foot System With Vertical Loading Pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,893.16 / $4,893.16 / $7,645.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,593.22 / $7,114.18 / $7,645.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,548.58 / $6,985.15 / $6,985.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,310.71 / $8,310.71 / $8,310.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,310.71 / $8,310.71 / $8,310.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $6,042.00 / $6,042.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $4,410.66 / $6,042.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,580.25 / $4,356.02 / $6,890.10