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Mississippi rates for HCPCS L6890

Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.41 / $114.41 / $178.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.41 / $178.76 / $201.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.19 / $158.19 / $158.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.19 / $158.19 / $158.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.15 / $170.15 / $170.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $124.21 / $170.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.90 / $105.86 / $161.25