go back

Mississippi rates for HCPCS L1250

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior ASIS pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.82 / $60.82 / $96.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.73 / $66.20 / $96.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.10 / $84.10 / $84.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.10 / $84.10 / $84.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.62 / $61.62 / $61.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $44.98 / $61.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.07 / $50.06 / $80.81