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Mississippi rates for HCPCS L1040

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar or lumbar rib pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $56.23 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $91.20 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $53.70 / $77.62