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Mississippi rates for HCPCS L3660

Shoulder orthosis (SO), figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $85.11 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $91.20 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $53.70 / $85.11