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Mississippi rates for HCPCS L7404

Addition To Upper Extremity Prosthesis Above Elbow Disarticulation Acrylic Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.04 / $378.04 / $590.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.87 / $549.65 / $590.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.75 / $522.75 / $522.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.75 / $522.75 / $522.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.07 / $434.07 / $434.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.87 / $316.87 / $434.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.36 / $336.55 / $460.81