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Mississippi rates for HCPCS L1720

Legg Perthes orthosis, trilateral, (Tachdijan type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.30 / $948.30 / $1,511.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.61 / $1,081.66 / $1,511.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,311.31 / $1,311.31 / $1,311.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.31 / $1,311.31 / $1,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.77 / $1,149.77 / $1,149.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $839.33 / $1,149.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.74 / $803.35 / $1,260.16