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Mississippi rates for HCPCS L3762

Elbow Orthosis Rigid Without Joints Includes Soft Interface Material Prefabricated Off-The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.44 / $66.44 / $105.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.33 / $68.02 / $105.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.92 / $88.92 / $98.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.87 / $91.87 / $91.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.87 / $91.87 / $91.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.81 / $65.81 / $383.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $48.04 / $71.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.37 / $140.44 / $168.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.03 / $56.28 / $88.29