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Mississippi rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $4,677.35 / $7,413.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $6,456.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,918.31 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $4,168.69 / $6,025.60