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Mississippi rates for HCPCS L2114

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Semi-Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.46 / $366.46 / $584.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.46 / $423.80 / $584.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.73 / $506.73 / $506.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.73 / $506.73 / $506.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $408.60 / $408.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $298.27 / $408.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.48 / $310.44 / $516.00