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Mississippi rates for HCPCS L3209

Surgical Boot Each Child (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.92 / $14.92 / $23.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.92 / $17.51 / $25.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.15 / $108.15 / $118.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.00 / $103.00 / $103.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $27.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $25.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $15.16 / $25.75