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Mississippi rates for HCPCS L1200

Thoracic-Lumbar-Sacral-Orthosis (Tlso) Inclusive Of Furnishing Initial Orthosis Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.20 / $1,097.20 / $1,748.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.17 / $1,251.50 / $1,748.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.00 / $1,623.00 / $1,623.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.00 / $1,623.00 / $1,623.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.20 / $1,184.20 / $1,184.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.47 / $864.47 / $1,184.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.08 / $929.48 / $1,458.02