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Mississippi rates for HCPCS L3257

Orthopedic Footwear Additional Charge For Split Size (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.12 / $12.12 / $19.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $14.23 / $20.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.59 / $75.59 / $83.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $72.00 / $72.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $28.09 / $28.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $20.51 / $28.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $21.25 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $12.37 / $21.15