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Mississippi rates for HCPCS L7405

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.44 / $494.44 / $772.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.12 / $718.89 / $772.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.70 / $683.70 / $683.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.70 / $683.70 / $683.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.54 / $624.54 / $624.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.91 / $455.91 / $624.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.73 / $440.17 / $602.66