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Mississippi rates for HCPCS L4387

Walking Boot Non-Pneumatic With Or Without Joints With Or Without Interface Material Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.63 / $171.53 / $285.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.23 / $122.76 / $171.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.04 / $144.04 / $153.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.33 / $150.33 / $150.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.33 / $150.33 / $150.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.47 / $120.81 / $120.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.19 / $88.19 / $120.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.76 / $94.52 / $150.33