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Mississippi rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $64.57 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $95.50 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $57.54 / $89.13