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Mississippi rates for HCPCS L3253

Foot Molded Shoe Plastazote (Or Similar) Custom Fitted Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.78 / $16.78 / $26.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.78 / $19.70 / $28.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.05 / $148.05 / $162.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.00 / $141.00 / $141.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $54.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $42.50 / $80.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $16.73 / $29.42