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Mississippi rates for HCPCS L6694

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.27 / $478.27 / $747.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.30 / $716.51 / $794.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.35 / $661.35 / $661.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.35 / $661.35 / $661.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.74 / $528.74 / $528.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.98 / $385.98 / $528.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.75 / $425.77 / $616.57