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Mississippi rates for HCPCS L1844

Knee orthosis (KO), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.47 / $1,055.47 / $1,682.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.77 / $1,203.89 / $1,682.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.49 / $1,459.49 / $1,459.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.49 / $1,459.49 / $1,459.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.93 / $1,186.93 / $1,186.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.46 / $866.46 / $1,186.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,193.78 / $1,193.78 / $1,193.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.79 / $894.13 / $1,402.56