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Mississippi rates for HCPCS L1830

Knee Orthosis Immobilizer Canvas Longitudinal Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.16 / $59.50 / $591.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.78 / $59.18 / $86.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.02 / $74.02 / $101.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.40 / $87.40 / $87.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.40 / $87.40 / $87.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $76.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $49.01 / $76.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $57.37 / $90.99