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Mississippi rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.97 / $355.97 / $556.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.83 / $533.95 / $658.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.16 / $508.16 / $508.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.22 / $492.22 / $492.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.22 / $492.22 / $492.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $459.90 / $459.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $603.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.70 / $316.89 / $466.21