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Mississippi rates for HCPCS L4130

Replace Pretibial Shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.49 / $368.49 / $587.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.70 / $401.26 / $587.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.54 / $509.54 / $509.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.54 / $509.54 / $509.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $373.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $272.70 / $373.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.83 / $276.36 / $276.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $305.89 / $489.66