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Mississippi rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.51 / $62.51 / $99.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.25 / $71.30 / $99.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.42 / $86.42 / $86.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.42 / $86.42 / $86.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.02 / $71.02 / $71.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $51.84 / $71.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.34 / $51.44 / $83.06