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Mississippi rates for HCPCS L7402

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $239.88 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $363.08 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $213.80 / $309.03