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Mississippi rates for HCPCS L7403

Addition To Upper Extremity Prosthesis Below Elbow/Wrist Disarticulation Acrylic Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.50 / $250.50 / $391.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.15 / $364.19 / $391.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.39 / $346.39 / $346.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.39 / $346.39 / $346.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.80 / $286.80 / $286.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.36 / $209.36 / $395.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.09 / $223.01 / $353.10