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Mississippi rates for HCPCS L1902

Ankle Orthosis Ankle Gauntlet Or Similiar With Or Without Joints Prefabricated Off-The-Shelf (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.86 / $51.86 / $82.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.41 / $59.42 / $83.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.41 / $69.41 / $99.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.70 / $71.70 / $71.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.70 / $71.70 / $71.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.94 / $58.00 / $58.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $42.34 / $58.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $43.05 / $69.14