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Mississippi rates for HCPCS L4350

Ankle Control Orthosis Stirrup Style Rigid Includes Any Type Interface (E.G. Pneumatic Gel)Prefabricated Off-The-Shelf (Revised 01/01/14) D 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.39 / $66.39 / $105.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.29 / $75.72 / $105.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.85 / $88.85 / $88.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.80 / $91.80 / $91.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.80 / $91.80 / $91.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $73.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $49.80 / $73.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.50 / $55.78 / $88.22