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Mississippi rates for HCPCS L6629

Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $114.82 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $141.25 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $85.11 / $134.90