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Mississippi rates for HCPCS L3960

Shoulder Elbow Wrist Hand Orthosis Abduction Positioning Airplane Design Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.26 / $509.26 / $811.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.41 / $580.88 / $811.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.56 / $981.44 / $1,272.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.21 / $704.21 / $704.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.21 / $704.21 / $704.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $510.00 / $516.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.30 / $372.30 / $516.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.47 / $419.17 / $676.74