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Mississippi rates for HCPCS L6638

Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.99 / $1,700.99 / $2,657.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.72 / $2,473.06 / $2,657.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,352.11 / $2,352.11 / $2,352.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,352.11 / $2,352.11 / $2,352.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.91 / $1,952.91 / $1,952.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,425.62 / $1,952.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.96 / $1,514.26 / $2,073.29