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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
$21.13 / $21.13 / $33.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.28 / $26.12 / $33.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.23 / $29.23 / $29.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.23 / $29.23 / $29.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $29.97 / $29.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $33.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $17.89 / $28.09