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Mississippi rates for HCPCS L6697

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.73 / $894.73 / $1,398.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.89 / $1,300.83 / $1,398.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,237.23 / $1,237.23 / $1,237.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.23 / $1,237.23 / $1,237.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.22 / $1,111.22 / $1,111.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.19 / $811.19 / $1,412.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.92 / $796.51 / $1,090.83