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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
$59.73 / $59.73 / $95.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $70.76 / $95.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.60 / $82.60 / $82.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.60 / $82.60 / $82.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.72 / $66.72 / $66.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $48.71 / $66.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.98 / $61.98 / $61.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.84 / $50.60 / $79.37