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Mississippi rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.49 / $48.49 / $77.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.49 / $59.30 / $82.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.50 / $115.50 / $127.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.00 / $110.00 / $110.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $50.99 / $69.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $21.25 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $49.71 / $84.10