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Mississippi rates for HCPCS L7402

Addition To Upper Extremity Prosthesis Shoulder Disarticulation/Interscapular Thoracic Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.02 / $252.02 / $393.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.57 / $366.42 / $393.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.49 / $348.49 / $348.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.49 / $348.49 / $348.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.35 / $318.35 / $318.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.40 / $232.40 / $318.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.90 / $224.35 / $355.22