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Mississippi rates for HCPCS L3250

Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $123.03 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $141.25 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $245.47