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Mississippi rates for HCPCS L7401

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.40 / $233.40 / $364.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.08 / $339.33 / $364.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.72 / $322.72 / $322.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.72 / $322.72 / $322.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.94 / $267.94 / $267.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.60 / $195.60 / $267.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.07 / $207.77 / $284.45