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Mississippi rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $52.48 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $72.44 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $63.10 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $63.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $75.86 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $45.71 / $70.79