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Mississippi rates for HCPCS L3901

Wrist Hand Finger Orthosis Dynamic Flexor Hinge Reciprocal Wrist Extension/ Flexion Finger Flexion/Extension Cable Driven Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.20 / $1,082.20 / $1,724.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.87 / $1,234.39 / $1,724.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.46 / $1,496.46 / $1,496.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.46 / $1,496.46 / $1,496.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.01 / $1,107.01 / $1,107.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.12 / $808.12 / $1,107.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.23 / $906.85 / $1,438.10