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Mississippi rates for HCPCS L3650

Shoulder Orthosis Figure Of Eight Design Abduction Restrainer Prefabricated Off-The-Shelf(Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.97 / $57.04 / $57.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.24 / $42.18 / $58.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.49 / $49.49 / $71.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.14 / $51.14 / $51.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.14 / $51.14 / $51.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.70 / $46.70 / $69.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.09 / $34.09 / $61.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.09 / $87.18 / $104.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $30.70 / $50.26