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Mississippi rates for HCPCS L1907

Ankle orthosis (AO), supramalleolar with straps, with or without interface/pads, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.99 / $381.99 / $608.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.58 / $435.71 / $608.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.22 / $528.22 / $528.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.22 / $528.22 / $528.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $419.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $306.22 / $419.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.43 / $323.60 / $537.90