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Mississippi rates for HCPCS L1630

Hip orthosis (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $114.82 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $154.88 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $93.33 / $144.54