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Mississippi rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $190.55 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $288.40 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $173.78 / $245.47