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Mississippi rates for HCPCS L4130

Replace pretibial shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $338.84 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $524.81 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $309.03 / $446.68