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Mississippi rates for HCPCS L3201

Orthopedic Shoe Oxford With Supinator Or Pronator Infant (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.77 / $19.77 / $31.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.77 / $23.20 / $33.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.00 / $63.00 / $69.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $30.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $25.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $19.67 / $34.32