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Mississippi rates for HCPCS L1990

Ankle Foot Orthosis Double Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Double Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.70 / $297.70 / $474.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.45 / $339.57 / $474.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.43 / $398.43 / $398.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.67 / $411.67 / $411.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.67 / $411.67 / $411.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.79 / $313.79 / $313.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $229.07 / $313.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.02 / $252.20 / $395.62