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Mississippi rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $52.48 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $74.13 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $79.43 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $57.54 / $81.28