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Mississippi rates for HCPCS L3265

Plastazote Sandal, Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.46 / $7.46 / $11.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $8.76 / $12.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.35 / $28.35 / $31.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $20.91 / $28.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $21.25 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $7.42 / $12.80