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Mississippi rates for HCPCS L1840

Knee Orthosis Derotation Medial-Lateral Anterior Cruciate Ligament Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.91 / $632.91 / $1,008.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.12 / $730.25 / $1,008.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.19 / $875.19 / $875.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.19 / $875.19 / $875.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.96 / $732.96 / $732.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $971.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.99 / $1,381.17 / $1,657.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.53 / $536.16 / $841.06