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Mississippi rates for HCPCS L1755

Legg Perthes Orthotic, (Patten Bottom Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.39 / $1,041.39 / $1,659.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.40 / $1,187.83 / $1,659.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.01 / $1,440.01 / $1,440.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.01 / $1,440.01 / $1,440.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.53 / $1,395.53 / $1,395.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,018.74 / $1,672.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.24 / $872.65 / $1,383.86