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Mississippi rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $57.54 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $85.11 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $50.12 / $77.62