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Mississippi rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.02 / $1,234.02 / $1,928.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.36 / $1,794.13 / $1,928.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,706.39 / $1,706.39 / $1,706.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.39 / $1,706.39 / $1,706.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,222.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $1,947.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.37 / $2,608.67 / $3,130.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.72 / $1,098.56 / $1,504.11