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Mississippi rates for HCPCS L2128

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.58 / $1,082.58 / $1,725.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.58 / $1,234.83 / $1,725.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,497.00 / $1,497.00 / $1,497.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.00 / $1,497.00 / $1,497.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,207.09 / $1,207.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $881.18 / $1,207.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.50 / $917.11 / $1,485.11