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Mississippi rates for HCPCS L4040

Replace Molded Thigh Lacer, For Custom Fabricated Orthotic Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.72 / $257.72 / $410.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.37 / $293.95 / $410.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.36 / $356.36 / $356.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.36 / $356.36 / $356.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.55 / $352.55 / $352.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.36 / $257.36 / $352.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.94 / $218.32 / $353.53