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Mississippi rates for HCPCS L6642

Upper Extremity Addition Excursion Amplifier Lever Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.26 / $146.26 / $228.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.26 / $227.12 / $291.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.25 / $202.25 / $202.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.25 / $202.25 / $202.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $225.10 / $225.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $164.32 / $225.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.93 / $172.06 / $200.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $130.21 / $200.64