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Mississippi rates for HCPCS L1900

Ankle Foot Orthosis Spring Wire Dorsiflexion Assist Calf Band Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.96 / $190.96 / $304.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.54 / $223.91 / $304.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.04 / $264.04 / $264.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.04 / $264.04 / $264.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $189.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $138.63 / $189.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.08 / $161.76 / $269.14