go back

Mississippi rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $229.09 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $154.88 / $239.88