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Mississippi rates for HCPCS L6628

Upper Extremity Addition Quick Disconnect Hook Adapter Otto Bock Or Equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.22 / $322.22 / $503.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.22 / $503.47 / $575.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.56 / $445.56 / $445.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.56 / $445.56 / $445.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.49 / $444.49 / $444.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.48 / $324.48 / $444.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $108.00 / $108.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.23 / $286.85 / $453.72