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Mississippi rates for HCPCS L1906

Ankle Foot Orthosis Multiligamentous Ankle Support Prefabricated Off-The-Shelf (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.76 / $98.97 / $138.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.65 / $88.12 / $138.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.21 / $167.21 / $167.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.96 / $119.96 / $119.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.96 / $119.96 / $119.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $86.88 / $86.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $63.42 / $86.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.06 / $72.02 / $115.29