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Mississippi rates for HCPCS L1990

Ankle-foot orthosis (AFO), 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
$295.12 / $295.12 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $295.12 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $446.68 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $426.58 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $251.19 / $380.19