go back

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
$29.58 / $30.04 / $161.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.53 / $30.04 / $46.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.59 / $39.59 / $39.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.90 / $40.90 / $40.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.90 / $40.90 / $40.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $35.00 / $35.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $25.55 / $35.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $25.79 / $39.29