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Mississippi rates for HCPCS L8000

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $50.12 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.70 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $39.81 / $43.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $34.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $42.66 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $25.12 / $36.31