go back

Mississippi rates for HCPCS L1690

Combination Bilateral Lumbo-Sacral Hip Femur Orthosis Providing Adduction And Internal Rotation Control Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.77 / $1,312.77 / $2,092.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.30 / $1,497.38 / $2,092.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,815.29 / $1,815.29 / $1,815.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,815.29 / $1,815.29 / $1,815.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,300.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $1,952.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.24 / $1,089.79 / $1,744.48