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Mississippi rates for HCPCS L4045

Replace nonmolded thigh lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.10 / $207.10 / $330.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.49 / $236.23 / $330.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.38 / $286.38 / $286.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.38 / $286.38 / $286.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $230.92 / $230.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $168.57 / $230.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.91 / $175.45 / $284.10