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Mississippi rates for HCPCS L7400

Addition To Upper Extremity Prosthesis Below Elbow Elbow/Wrist Disarticulation Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.48 / $208.48 / $325.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.70 / $303.08 / $325.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.27 / $288.27 / $288.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.27 / $288.27 / $288.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.35 / $239.35 / $239.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.73 / $174.73 / $328.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $185.59 / $254.10