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Mississippi rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.91 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $27.54 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $30.20 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $17.78 / $28.18