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Mississippi rates for HCPCS L3670

Shoulder Orthosis Acromio/Clavicular (Canvas And Webbing Type) Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.00 / $88.50 / $141.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.15 / $86.61 / $141.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.44 / $118.44 / $157.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.39 / $122.39 / $122.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.39 / $122.39 / $122.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $86.64 / $91.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $63.25 / $91.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.46 / $74.98 / $124.74